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Individual

DR. MORRIS LAMAR BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1080 DEER RUN RD, CENTERVILLE, OH 45459-4924
(937) 689-4719
Mailing address
1080 DEER RUN RD, CENTERVILLE, OH 45459-4924
(937) 689-4719

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35038418
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000384724
ANTHEM
OH
05
0347360
OH
01
35038418B
MEDICAL LICENSE
OH
01
4013675
AETNA
OH
01
421534506021
CHAMPUS/TRICARE/HEALTHNET
OH
01
421534506099
CARESOURCE
OH
Enumeration date
12/02/2005
Last updated
11/13/2017
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