# JONATHAN M. BROWN, D.O., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154543569
- **Authorized official:** LINA N DOEVE (MANAGER)
- **Authorized official phone:** (928) 788-4530

## Contact information

- **Practice address:** 5300 SOUTH HIGHWAY 95, SUITE M, FORT MOHAVE, AZ 86426
- **Practice address phone:** (928) 788-4530
- **Mailing address:** 4825 HIGHWAY 95, SUITE 5 \#412, FORT MOHAVE, AZ 96426
- **Mailing address phone:** (928) 788-4530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | 4060 | AZ | Yes |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 10/15/2012