Individual
MARK ALAN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
121 FAWN HAVEN CT, MARTINSBURG, WV 25401-5285
(304) 279-6890
Mailing address
121 FAWN HAVEN CT, MARTINSBURG, WV 25401
(304) 279-6890
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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