Individual
PAUL THOMAS BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD, LD
Contact information
Practice address
3082 W JEWELL RD APT 1, FAYETTEVILLE, AR 72701-1586
(501) 350-1066
Mailing address
3082 W JEWELL RD APT 1, FAYETTEVILLE, AR 72701-1586
(501) 350-1066
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86058528
AR
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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