BROOKE S. SOUTHERLAND

INDIANAPOLIS, IN
NPI1205123833
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10001364A)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2011-07-04
Last Update Date2021-02-18
Business Address
Ms. BROOKE S. SOUTHERLAND PA-C
1701 N SENATE AVENUE RM AG001
INDIANAPOLIS, IN 46202-1239
Phone number: 317-962-3886
Mailing Address
Ms. BROOKE S. SOUTHERLAND PA-C
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number: