Individual
DR. SAMUEL MORRIS BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-6415
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
217647
MA
207RP1001X
Pulmonary Disease Physician
Primary
6091250-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2066670
—
MA
01
—
469260
TUFTS HEALTH PLAN
MA
01
—
J27626
BCBS MA
MA
Enumeration date
11/08/2005
Last updated
08/10/2021
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