Individual
JACOB ELLIS BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10101 RIDGEGATE PKWY, LONE TREE, CO 80124-5522
(303) 783-4912
Mailing address
719 MALONE ST, HOUSTON, TX 77007-5123
(832) 262-6408
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
ANT.0000310
CO
Other
Enumeration date
07/14/2025
Last updated
09/08/2025
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