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DR. STACEY LEE BROWN MD
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1629004650
Individual Registrant:DR. STACEY LEE BROWN MD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
150 PIONEER LN BISHOP, CA 93514-2556 US
Tel: 760-873-8982 Fax: 760-873-3198
Tel: 760-873-8982 Fax: 760-873-3198
Contact information for business:
PO BOX 275 BISHOP, CA 93515-0275 US
Tel: 760-873-8982 Fax: 760-873-3198
Tel: 760-873-8982 Fax: 760-873-3198
Registration Information:
NPI: 1629004650
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | CA | A54711 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
