Individual
GARY L BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
118 S 12TH ST, MOUNT VERNON, WA 98274-4036
(360) 336-2178
(360) 336-1995
Mailing address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD 00013171
WA
207YS0123X
Facial Plastic Surgery Physician
MD00013171
WA
207YX0602X
Otolaryngic Allergy Physician
MD00013171
WA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
MD00013171
WA
208200000X
Plastic Surgery Physician
MD00013171
WA
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
MD00013171
WA
208600000X
Surgery Physician
MD00013171
WA
2086S0122X
Plastic and Reconstructive Surgery Physician
MD00013171
WA
2086X0206X
Surgical Oncology Physician
MD00013171
WA
Other
Enumeration date
01/31/2006
Last updated
10/27/2021
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