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Individual
MARK ALLEN BROWN
Active
Individual
MARK ALLEN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
15-02092
KS
363AS0400X
Surgical Physician Assistant
Primary
2005004531
MO
Other
Enumeration date
05/30/2006
Last updated
02/03/2025
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