Healthcare Provider Details

I. General information

NPI: 1427164607
Provider Name (Legal Business Name): SHELDON REYNOLD BROWN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 E INDIAN SCHOOL RD
PHOENIX AZ
85012-1839
US

IV. Provider business mailing address

5502 E ALAN LN
SCOTTSDALE AZ
85253-1162
US

V. Phone/Fax

Practice location:
  • Phone: 602-277-5551
  • Fax: 602-212-2192
Mailing address:
  • Phone: 480-483-8310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number23185
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: