Individual
RALPH BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 TYLER RD, CHRISTIANSBURG, VA 24073-6374
(540) 731-2000
Mailing address
2900 TYLER RD, CHRISTIANSBURG, VA 24073-6374
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
0101-231887
VA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101-231887
VA
2081P0004X
Spinal Cord Injury Medicine Physician
0101-231887
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6802648
—
VA
05
—
6802656
—
VA
05
—
6803075
—
VA
01
—
C01619
MEDICARE GRP PTAN
VA
01
—
C02255
MEDICARE GRP PTAN
—
Enumeration date
01/14/2006
Last updated
02/09/2011
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