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Search › Idaho › 207N00000X

Cornelius Brooke, MD

NPI 1275504300 · on the registry since 2006 · sole proprietor

Practice

Address
2001 S Woodruff Ave
Ste 12a
Idaho Falls, ID 83404
Phone
(208) 522-8945
Fax
(208) 522-5374
Organisation at this address
Club, Inc.
Ascend Llc
Michele Osmond
Suzanne Godfrey
Neurofeedback Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
48

Registry record

Primary taxonomy
207N00000X
207N00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-07-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho