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DR. JONATHAN M BROWN DO

Otolaryngology/Facial Plastic Surgery >> Otolaryngology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1184651580

Individual Registrant:
DR. JONATHAN M BROWN DO
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

Contact information for business:
4825 HIGHWAY 95 SUITE 5, #412 FORT MOHAVE, AZ 86426-8315 US
Tel: 928-788-4530  Fax: --

Registration Information:
NPI: 1184651580
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207YX0905XAllopathic & Osteopathic Physicians
Otolaryngology
Otolaryngology/Facial Plastic Surgery
AZ4060

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
878209AZ05




HEALTH CARE JOBS AZ - Page 1



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