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Individual
RANDALL A. BROWN
Active
Individual
RANDALL A. BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R5A27
MO
207RH0003X
Hematology & Oncology Physician
Primary
ME103696
FL
207RH0003X
Hematology & Oncology Physician
R5A27
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000867300
—
FL
05
—
202074035
—
MO
01
—
257858
UNITED HEALTHCARE
—
01
—
39065018
BLUE CROSS OF KANSAS CITY
MO
01
—
4004078
AETNA
MO
01
—
4125
HEALTHCARE USA
—
Enumeration date
08/03/2006
Last updated
04/09/2013
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