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NPI Code Detail

MEDICARE: AMANDA LYNN BROWN MD

MEDICARE: AMANDA LYNN BROWN MD
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
1207Q00000XFamily Medicine Physician27239OK

General Provider Information

NPI Number : 1689806259
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA LYNN BROWN MD
Provider Business Mailing Address
First Line : 1538 N LEWIS AVE
Second Line :
City : TULSA
State : OK
Zip : 74110-2535
Country : US
Telephone Number : 918-400-7001
Fax Number : 539-202-5070
Provider Business Practice Location Address
First Line : 1538 N LEWIS AVE
Second Line :
City : TULSA
State : OK
Zip : 74110-2535
Country : US
Telephone Number : 918-400-7001
Fax Number : 539-202-5070
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2009
Last Update Date : 11/15/2023

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Directions to “ AMANDA LYNN BROWN MD” Practice Location

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