Organization
RICHARD J. BROWN D.P.M.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD J BROWN D.P.M. (OWNER)
(513) 621-4370
Entity
Organization
Contact information
Practice address
37 W 7TH ST, SUITE 409, CINCINNATI, OH 45202-2414
(513) 621-4370
Mailing address
37 W 7TH ST, SUITE 409, CINCINNATI, OH 45202-2414
(513) 621-4370
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
36001785
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0323082
—
OH
01
—
11394
CARESOURCE
OH
01
—
294572
AMERIGROUP
OH
01
—
740868
BUCKEYE
OH
Enumeration date
11/28/2007
Last updated
12/03/2007
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