MEDICARE: MARGOT KATHRYN BROWN MD, MS

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	A137956	CA

General Provider Information

NPI Number	:	1689092165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGOT KATHRYN BROWN MD, MS

Provider Business Mailing Address
First Line	:	1801 E COTATI AVE
Second Line	:
City	:	ROHNERT PARK
State	:	CA
Zip	:	94928-3609
Country	:	US
Telephone Number	:	707-664-2921
Fax Number	:	707-664-2925

Provider Business Practice Location Address
First Line	:	1801 E COTATI AVE
Second Line	:
City	:	ROHNERT PARK
State	:	CA
Zip	:	94928-3609
Country	:	US
Telephone Number	:	707-664-2921
Fax Number	:	707-664-2925

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

Provider Enumeration Date	:	04/02/2014
Last Update Date	:	10/23/2019

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