# W L BROWN MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1760479745
- **Authorized official:** DR. WILLIE L BROWN JR. MD (PRESIDENT)
- **Authorized official phone:** (559) 265-4444

## Contact information

- **Practice address:** 1221 E SPRUCE AVE, C, FRESNO, CA 93720-3374
- **Practice address phone:** (559) 265-4444
- **Practice address fax:** (559) 265-4454
- **Mailing address:** 1221 E SPRUCE AVE, C, FRESNO, CA 93720-3374
- **Mailing address phone:** (559) 265-4444
- **Mailing address fax:** (559) 265-4454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VX0000X | Obstetrics Physician | — | NULL | Yes |
| 207VX0000X | Obstetrics Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/04/2005
- **Last updated:** 12/21/2011

## 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 |