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DR. JONATHAN M BROWN DO
Otolaryngology/Facial Plastic Surgery >> Otolaryngology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1184651580
Individual Registrant:DR. JONATHAN M BROWN DO
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
2755 SILVER CREEK RD BULLHEAD CITY, AZ 86442 US
Tel: 928-444-1491 Fax: 928-444-1497
Tel: 928-444-1491 Fax: 928-444-1497
Contact information for business:
4825 HIGHWAY 95 SUITE 5, #412 FORT MOHAVE, AZ 86426-8315 US
Tel: 928-788-4530 Fax: --
Tel: 928-788-4530 Fax: --
Registration Information:
NPI: 1184651580
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207YX0905X | Allopathic & Osteopathic Physicians Otolaryngology Otolaryngology/Facial Plastic Surgery | AZ | 4060 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 878209 | AZ | 05 |
