Healthcare Provider Details

I. General information

NPI: 1710150867
Provider Name (Legal Business Name): CHRISTIE LYNN BROWN MUNOZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTIE LYNN BROWN M.D.

II. Dates (important events)

Enumeration Date: 04/09/2008
Last Update Date: 12/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 S CLIFF AVE STE A
SIOUX FALLS SD
57104
US

IV. Provider business mailing address

PO BOX 2756
SIOUX FALLS SD
57101-2756
US

V. Phone/Fax

Practice location:
  • Phone: 605-338-7098
  • Fax: 605-335-3505
Mailing address:
  • Phone: 605-338-7098
  • Fax: 605-335-3505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number8933
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: