Individual
DR. MARSHALL KEITH BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5304 ROAD 68, PASCO, WA 99301-8078
(509) 543-9300
Mailing address
520 N 4TH AVE, PASCO, WA 99301-5257
(509) 416-8849
(509) 542-3059
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
7914
SD
207Q00000X
Family Medicine Physician
9500A
WY
207Q00000X
Family Medicine Physician
MT28430
MT
207Q00000X
Family Medicine Physician
NE229
NE
207Q00000X
Family Medicine Physician
O-0812
ID
207Q00000X
Family Medicine Physician
Primary
OP60488723
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06908
BCBS
NE
Enumeration date
07/25/2006
Last updated
09/28/2020
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