Individual
DR. RUSSELL GLEN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
35 CAMINO DE MILAGRO, SANTA FE, NM 87506-0050
(505) 670-3524
Mailing address
110 DELGADO ST STE D, SANTA FE, NM 87501-2781
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
9420
NM
207R00000X
Internal Medicine Physician
9420
NM
2084P0800X
Psychiatry Physician
Primary
9420
NM
208D00000X
General Practice Physician
9420
NM
Other
Enumeration date
08/13/2007
Last updated
03/27/2025
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