Individual
GEORGE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
181 RIVER FOREST DR, PAGOSA SPRINGS, CO 81147-7755
(970) 398-0123
Mailing address
181 RIVER FOREST DR, PAGOSA SPRINGS, CO 81147-7755
(970) 398-0123
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
120410638
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25220063
—
CO
Enumeration date
01/27/2017
Last updated
01/27/2017
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