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Individual
WILLIE LEE BROWN JR.
Active
Individual
WILLIE LEE BROWN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A40710
CA
207VX0000X
Obstetrics Physician
A40710
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A407100
MEDICAID INDIVIDUAL
CA
05
—
GR0029520
—
CA
Enumeration date
10/13/2006
Last updated
06/17/2026
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