Individual
WILLIAM MARK BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1789 N KEYSER AVE, SCRANTON, PA 18508-1250
(570) 207-2030
(570) 207-2036
Mailing address
1789 N KEYSER AVE, SCRANTON, PA 18508-1250
(570) 207-2030
(570) 207-2036
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
SC003890L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000086612
—
PA
01
—
17105 6484
GEISINGER GOLD
PA
01
—
2144133
US HEALTHCARE
PA
01
—
247931
HEALTHNET
PA
01
—
247931
HEALTNET
—
01
—
2Y7931
HAMER
PA
01
—
5521062
AETNA PPO
PA
01
—
780195
FIRST PRIORITY LIFE
PA
01
—
86612
UNISON
PA
01
—
P00089348
RAILROAD MEDICARE
PA
01
—
U58555
STERLING
PA
Enumeration date
01/16/2007
Last updated
11/05/2012
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