Provider Demographics
NPI:1750767638
Name:BROOKS, DAREN (DO)
Entity type:Individual
Prefix:DR
First Name:DAREN
Middle Name:
Last Name:BROOKS
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 N 1680 E STE N1
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-2596
Mailing Address - Country:US
Mailing Address - Phone:435-680-3376
Mailing Address - Fax:435-210-6347
Practice Address - Street 1:230 N 1680 E STE N1
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-2596
Practice Address - Country:US
Practice Address - Phone:435-680-3376
Practice Address - Fax:435-210-6347
Is Sole Proprietor?:No
Enumeration Date:2015-08-03
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT3485941204207N00000X
AZ006779207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology