Individual
DEFOREST ROCHE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1320 WEST MAIN STREET, NEWARK, OH 43055
(740) 348-4226
(740) 348-4217
Mailing address
1320 WEST MAIN STREET, NEWARK, OH 43055
(740) 348-4226
(740) 348-4217
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
250550
OH
Other
Enumeration date
03/16/2012
Last updated
07/16/2013
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