Individual
DR. JEFFERY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 UNSER BLVD SE STE 8200, RIO RANCHO, NM 87124
(505) 253-6100
(505) 253-6179
Mailing address
PO BOX 26666, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD2013-0724
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16278721
—
NM
Enumeration date
05/24/2007
Last updated
05/02/2019
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