Individual
W. GERALD BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 MEDICAL ARTS AVE NE, PMG SOUTHWEST PULMONARY CRITICAL CARE, ALBUQUERQUE, NM 87102-2706
(505) 291-2402
(505) 291-2599
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
78126
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2287
—
NM
Enumeration date
10/04/2006
Last updated
07/16/2008
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