Organization
BROWN CLINIC PLLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT A DUKE (CHIEF ADMINISTRATIVE OFFICER)
(605) 884-4256
Entity
Organization
Contact information
Practice address
506 1ST AVE SE, WATERTOWN, SD 57201-4499
(605) 886-8482
(605) 884-4300
Mailing address
506 1ST AVE SE, WATERTOWN, SD 57201-4402
(605) 886-8482
(605) 884-4300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
213E00000X
Podiatrist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55408-01
MRAP
SD
Enumeration date
12/22/2006
Last updated
02/20/2023
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