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NPI Code Detail

MEDICARE: BRUCE H BROWN JR. MD

MEDICARE:   BRUCE H BROWN JR. 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
1207L00000XAnesthesiology Physician34054AZ

General Provider Information

NPI Number : 1558360768
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRUCE H BROWN JR. MD
Provider Business Mailing Address
First Line : PO BOX 13385
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85267-3385
Country : US
Telephone Number : 480-609-9300
Fax Number : 480-609-9350
Provider Business Practice Location Address
First Line : 19636 N 27TH AVENUE
Second Line : SUITE 106
City : PHOENIX
State : AZ
Zip : 85022
Country : US
Telephone Number : 480-609-9300
Fax Number : 480-609-9350
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2005
Last Update Date : 05/16/2008

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Directions to “ BRUCE H BROWN JR. MD” Practice Location

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