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Organization

BROWN ANESTHESIA PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KRISTOPHER MILES BROWN CRNA (PROVIDER/OWNER)
(253) 588-7911
Entity
Organization

Contact information

Practice address
2202 S CEDAR ST, TACOMA, WA 98405-2318
(253) 588-7911
(253) 984-6774
Mailing address
PO BOX 97115, LAKEWOOD, WA 98497-0115
(253) 588-7911
(253) 984-6774

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60077293
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AP60077293
MEDICAL LICENSE
WA
Enumeration date
12/22/2010
Last updated
12/22/2010
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