MEDICARE: ALAN 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	207ZP0101X	Anatomic Pathology Physician	27676	IA

General Provider Information

NPI Number	:	1619947546
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAN BROWN M.D.

Provider Business Mailing Address
First Line	:	NORTHEAST IOWA PATHOLOGY ASSOCIATES, PC
Second Line	:	PO BOX 2818
City	:	WATERLOO
State	:	IA
Zip	:	50704-2818
Country	:	US
Telephone Number	:	319-233-3044
Fax Number	:	319-233-0722

Provider Business Practice Location Address
First Line	:	NORTHEAST IOWA PATHOLOGY ASSOCIATES, PC
Second Line	:	1825 LOGAN AVENUE
City	:	WATERLOO
State	:	IA
Zip	:	50703
Country	:	US
Telephone Number	:	319-235-3679
Fax Number	:	319-233-0722

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

Provider Enumeration Date	:	01/24/2006
Last Update Date	:	07/15/2015

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