Individual
WAYNE O BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 S HIGHWAY 99, #3, FILLMORE, UT 84631-5134
(435) 743-5555
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 743-5555
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1098541205
UT
Other
Enumeration date
07/31/2006
Last updated
06/15/2010
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