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Individual

RALPH BROWN

Active
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Individual

RALPH BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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