Individual
MR. ERIC LEE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
859 S YELLOWSTONE HWY STE 304, REXBURG, ID 83440-5294
(208) 359-2101
(208) 356-8860
Mailing address
859 S YELLOWSTONE HWY STE 304, REXBURG, ID 83440-5294
(208) 359-2101
(208) 356-8860
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F12180562
ID
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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