Individual
RICHARD DENNIS BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1502 OKLAHOMA AVE, WOODWARD, OK 73801-4357
(580) 256-8325
(580) 256-5429
Mailing address
1502 OKLAHOMA AVE, WOODWARD, OK 73801-4357
(580) 256-8325
(580) 256-5429
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14404
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100211920A
—
OK
Enumeration date
01/17/2007
Last updated
07/08/2007
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