MEDICARE: DEBORAH BROWN M.D.

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
1	207Q00000X	Family Medicine Physician	A60458	CA

General Provider Information

NPI Number	:	1376546044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH BROWN M.D.

Provider Business Mailing Address
First Line	:	215 RESERVATION RD
Second Line	:	D
City	:	MARINA
State	:	CA
Zip	:	93933-3059
Country	:	US
Telephone Number	:	831-971-8734
Fax Number	:

Provider Business Practice Location Address
First Line	:	215 RESERVATION RD
Second Line	:	D
City	:	MARINA
State	:	CA
Zip	:	93933-3059
Country	:	US
Telephone Number	:	831-971-8734
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	11/10/2008

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