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Individual

RICHARD DEXTER BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
628 WILTON RD, FARMINGTON, ME 04938-6138
(207) 778-2245
(207) 779-1098
Mailing address
628 WILTON RD, FARMINGTON, ME 04938-6138
(207) 778-2245
(207) 779-1098

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
014299
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
040443
ANTHEM BC/BS PIN NUMBER
05
1437336880
ME
Enumeration date
03/16/2006
Last updated
06/14/2012
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