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NPI Code Detail

MEDICARE: DEBRA A BROWN PA-C

MEDICARE: DEBRA A BROWN PA-C
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
1363A00000XPhysician Assistant10125AZ
2363A00000XPhysician Assistant015800-1NY
3363AM0700XMedical Physician AssistantPA60619751WA

General Provider Information

NPI Number : 1114274669
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA A BROWN PA-C
Provider Business Mailing Address
First Line : 18444 N 25TH AVE STE 310
Second Line :
City : PHOENIX
State : AZ
Zip : 85023-1266
Country : US
Telephone Number : 866-974-2673
Fax Number : 866-939-2673
Provider Business Practice Location Address
First Line : 1500 S DOBSON RD STE 200
Second Line :
City : MESA
State : AZ
Zip : 85202-4724
Country : US
Telephone Number : 866-974-2673
Fax Number : 866-939-2673
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2012
Last Update Date : 06/03/2026

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1992799662 — MR. JOHN ANDREW NELSON P.A.-C
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1215124284 — JOEL D PAVELONIS MD PC
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1255511713 — MS. KRISTEN LEE GREEN FNP-C
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1508026469 — DR. JAIME MARIE RAWSON D.O.
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Directions to “ DEBRA A BROWN PA-C” Practice Location

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