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Organization
W L BROWN MEDICAL CORPORATION
Active
Organization
W L BROWN MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIE L BROWN JR. MD (PRESIDENT)
(559) 265-4444
Entity
Organization
Contact information
Practice address
1221 E SPRUCE AVE, C, FRESNO, CA 93720-3374
(559) 265-4444
(559) 265-4454
Mailing address
1221 E SPRUCE AVE, C, FRESNO, CA 93720-3374
(559) 265-4444
(559) 265-4454
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
NULL
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1002
CERT NURSE MIDWIFE
CA
01
—
1043300874
DR. BROWN JR NPI NUMBER
CA
01
—
1225063969
ANNE WILKES NPI NUMBER
CA
01
—
A40710
CALIFORNIA MEDICAL LICENS
CA
05
—
GROO29520
—
CA
05
—
LAB73144F
—
CA
Enumeration date
10/04/2005
Last updated
12/21/2011
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