Provider Demographics
NPI:1750626461
Name:BROOKS, GEORGE REMINGTON (MD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:REMINGTON
Last Name:BROOKS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2900 BARROWBY ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-9570
Mailing Address - Country:US
Mailing Address - Phone:801-450-7217
Mailing Address - Fax:661-835-0500
Practice Address - Street 1:2900 BARROWBY ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-9570
Practice Address - Country:US
Practice Address - Phone:801-450-7217
Practice Address - Fax:661-835-0500
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-06
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG88270208600000X
UT184005-1205208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery