Individual
LEON BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 COWARDIN AVE, SUITE 102, RICHMOND, VA 23224-2078
(804) 232-7876
(804) 232-1708
Mailing address
101 COWARDIN AVE, SUITE 102, RICHMOND, VA 23224-2078
(804) 232-7876
(804) 232-1708
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
101028525
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005672601
—
VA
01
—
005692
HMO ID
—
01
—
091191
CIGNA
—
01
—
1174535009
NPI
VA
01
—
20106
VIRGINIA PREMIER
—
01
—
558686
AETNA
—
01
—
826237
MDIPA ID
—
01
—
M3656
KEY ADV ID
—
Enumeration date
08/12/2006
Last updated
04/07/2009
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