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MR. DAVID MITCHEL BROWN OD
>> Optometrist >> Eye and Vision Services ProvidersRegistrant NPI Number: 1942614813
Individual Registrant:MR. DAVID MITCHEL BROWN OD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
102 SANTA FE AVE LA JUNTA, CO 81050-1523 US
Tel: 719-384-8719 Fax: 719-384-8738
Tel: 719-384-8719 Fax: 719-384-8738
Contact information for business:
27 MONTEBELLO RD PUEBLO, CO 81001-1236 US
Tel: 719-545-1530 Fax: 719-545-2899
Tel: 719-545-1530 Fax: 719-545-2899
Registration Information:
NPI: 1942614813
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 152W00000X | Eye and Vision Services Providers Optometrist | CO | OPT.0003052 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
