Provider Demographics
NPI:1326227091
Name:BROOKS, TORRANCE A (DC)
Entity Type:Individual
Prefix:DR
First Name:TORRANCE
Middle Name:A
Last Name:BROOKS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3434 W ANTHEM WAY
Mailing Address - Street 2:SUITE 118, #452
Mailing Address - City:ANTHEM
Mailing Address - State:AZ
Mailing Address - Zip Code:85086-0448
Mailing Address - Country:US
Mailing Address - Phone:623-218-6354
Mailing Address - Fax:623-398-7562
Practice Address - Street 1:2743 W EASTMAN DR
Practice Address - Street 2:
Practice Address - City:ANTHEM
Practice Address - State:AZ
Practice Address - Zip Code:85086-1780
Practice Address - Country:US
Practice Address - Phone:623-218-6354
Practice Address - Fax:623-398-7562
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-30
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5901111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition