Individual
DR. ROGER H. BROWN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2900 WESTOWN PKWY, SUITE B, WEST DES MOINES, IA 50266-1315
(515) 225-9368
(515) 225-9368
Mailing address
2900 WESTOWN PKWY, SUITE B, WEST DES MOINES, IA 50266-1315
(515) 225-9368
(515) 225-9368
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4694
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0168294
—
IA
01
—
10125445214165
EDI SUBMITTER ID
IA
01
—
16829
BCBS
IA
01
—
IA0101
JOHN DEERE PROVIDER ID
IA
Enumeration date
02/02/2006
Last updated
07/08/2007
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