Individual
BLAIR BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MED
Contact information
Practice address
500 W BROADWAY ST FL 4, MISSOULA, MT 59802-4008
(406) 327-1940
(406) 327-1974
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PENDING
MN
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
64000
MN
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
MED-PHYS-LIC-132614
MT
Other
Enumeration date
05/05/2015
Last updated
02/29/2024
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