Organization
JONATHAN M. BROWN, D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINA N DOEVE (MANAGER)
(928) 788-4530
Entity
Organization
Contact information
Practice address
5300 SOUTH HIGHWAY 95, SUITE M, FORT MOHAVE, AZ 86426
(928) 788-4530
Mailing address
4825 HIGHWAY 95, SUITE 5 #412, FORT MOHAVE, AZ 96426
(928) 788-4530
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
4060
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
878209
—
AZ
Enumeration date
05/03/2007
Last updated
10/15/2012
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