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DR. STACEY LEE BROWN MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1629004650

Individual Registrant:
DR. STACEY LEE BROWN MD
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

Contact information for business:
PO BOX 275  BISHOP, CA 93515-0275 US
Tel: 760-873-8982  Fax: 760-873-3198

Registration Information:
NPI: 1629004650
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CAA54711

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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