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NPI Code Detail

MEDICARE: GERALD E BROWN DO PC

MEDICARE: GERALD E BROWN DO PC
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
1207W00000XOphthalmology Physician855NV

General Provider Information

NPI Number : 1144470790
Entity Type Code : Organization
Provider Name (Legal Business Name) : GERALD E BROWN DO PC
Provider Business Mailing Address
First Line : 2575 LINDELL RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-5409
Country : US
Telephone Number : 702-362-3937
Fax Number : 702-362-7935
Provider Business Practice Location Address
First Line : 2575 LINDELL RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-5409
Country : US
Telephone Number : 702-362-3937
Fax Number : 702-362-7935
Authorized Official
Title or Position : DO
Name : DR. GERALD E. BROWN
Credential : DO
Telephone Number : 702-362-3937
Provider Enumeration Date : 09/19/2008
Last Update Date : 09/19/2008

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