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NPI Code Detail

MEDICARE: DAVID V BROWN

MEDICARE: DAVID V BROWN
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
11223G0001XGeneral Practice Dentistry60418KS
2122300000XDentist8541343-9922UT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073602637
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID V BROWN
Provider Business Mailing Address
First Line : 195 W TELEGRAPH ST
Second Line :
City : WASHINGTON
State : UT
Zip : 84780-1675
Country : US
Telephone Number : 435-673-4605
Fax Number :
Provider Business Practice Location Address
First Line : 195 W TELEGRAPH ST
Second Line :
City : WASHINGTON
State : UT
Zip : 84780-1675
Country : US
Telephone Number : 435-673-4605
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2006
Last Update Date : 05/06/2013

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Directions to “ DAVID V BROWN ” Practice Location

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