Healthcare Provider Details

I. General information

NPI: 1689092165
Provider Name (Legal Business Name): MARGOT KATHRYN BROWN MD, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2014
Last Update Date: 10/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 E COTATI AVE
ROHNERT PARK CA
94928-3609
US

IV. Provider business mailing address

1801 E COTATI AVE
ROHNERT PARK CA
94928-3609
US

V. Phone/Fax

Practice location:
  • Phone: 707-664-2921
  • Fax: 707-664-2925
Mailing address:
  • Phone: 707-664-2921
  • Fax: 707-664-2925

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA137956
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: