Individual
GARY C BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
103 MCKNIGHT DR, SUITE A, MIDDLETOWN, OH 45044-4890
(513) 217-6400
(513) 217-6037
Mailing address
103 MCKNIGHT DR, SUITE A, MIDDLETOWN, OH 45044-4890
(513) 217-6400
(513) 217-6037
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35063242
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000522401
ANTHEM BCBS
OH
01
—
0882666
MOLINA HEALTHCARE OF OHIO
OH
05
—
0882666
—
OH
01
—
208679830027
CARESOURCE
OH
01
—
283756
AMERIGROUP
OH
Enumeration date
12/22/2005
Last updated
11/21/2016
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