# BERTUS L BROWN JR M D LLC

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

## Provider details

- **NPI number:** 1336185792
- **Authorized official:** BERTUS L BROWN JR. M D (PHYSICIAN OWNER)
- **Authorized official phone:** (573) 426-3333

## Contact information

- **Practice address:** 1501 E 10TH ST, SUITE A, ROLLA, MO 65401-3696
- **Practice address phone:** (573) 426-3333
- **Practice address fax:** (573) 426-6666
- **Mailing address:** 1501 E 10TH ST, SUITE A, ROLLA, MO 65401-3696
- **Mailing address phone:** (573) 426-3333
- **Mailing address fax:** (573) 426-6666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 2005037955 | MO | Yes |

## Other

- **Enumeration date:** 06/22/2006
- **Last updated:** 08/22/2020