Individual
DAVID J BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2960 E. ST. LUKE'S ST., SUITE 200, MERIDIAN, ID 83642-9005
(208) 378-4264
(208) 957-6891
Mailing address
2960 E. ST. LUKE'S ST., SUITE 200, MERIDIAN, ID 83642-9005
(208) 378-4264
(208) 957-6891
Taxonomy
Speciality
Code
Description
License number
State
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
M-9567
ID
208600000X
Surgery Physician
Primary
M9567
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M9567
STATE LICENSE #
ID
Enumeration date
06/28/2006
Last updated
04/10/2025
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