Healthcare Provider Details

I. General information

NPI: 1447655931
Provider Name (Legal Business Name): ANNA BROWN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNA BRICE DO

II. Dates (important events)

Enumeration Date: 10/27/2014
Last Update Date: 11/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PERKINS SQ
AKRON OH
44308-1063
US

IV. Provider business mailing address

1 PERKINS SQ
AKRON OH
44308-1063
US

V. Phone/Fax

Practice location:
  • Phone: 330-543-4440
  • Fax: 330-543-4467
Mailing address:
  • Phone: 330-543-4440
  • Fax: 330-543-4467

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number34.013758
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: