Individual
SHAWN PATRICK BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2523 E HUNTSVILLE RD, FAYETTEVILLE, AR 72701
(479) 442-2822
(479) 582-1754
Mailing address
PO BOX 1523, FAYETTEVILLE, AR 72702-1523
(479) 571-6038
(479) 582-0222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-6689
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186770001
—
AR
01
—
5H945
AR BC/BS
AR
Enumeration date
07/08/2009
Last updated
03/14/2024
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