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NPI Code Detail

MEDICARE: DR. CONSTANCE BROWN MD

MEDICARE: DR. CONSTANCE BROWN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician10965NV
2207R00000XInternal Medicine Physician10965NV

General Provider Information

NPI Number : 1013163286
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CONSTANCE BROWN MD
Provider Business Mailing Address
First Line : 3675 PECOS MCLEOD STE 700
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-3811
Country : US
Telephone Number : 702-606-8737
Fax Number : 702-485-5212
Provider Business Practice Location Address
First Line : 3675 PECOS MCLEOD STE 700
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-3811
Country : US
Telephone Number : 702-606-8737
Fax Number : 702-485-5212
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2008
Last Update Date : 10/11/2019

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