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NPI Code Detail

MEDICARE: GORDON BROWN

MEDICARE:   GORDON  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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1114274750
Entity Type Code : Individual
Provider Name (Legal Business Name) : GORDON BROWN
Provider Business Mailing Address
First Line : 6151 SWEETBRIAR CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-3015
Country : US
Telephone Number : 702-427-6864
Fax Number :
Provider Business Practice Location Address
First Line : 6151 SWEETBRIAR CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-3015
Country : US
Telephone Number : 702-427-6864
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2012
Last Update Date : 08/14/2012

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Directions to “ GORDON BROWN ” Practice Location

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