Individual
GARY ROSS BROWN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1011 S TYLER ST, COVINGTON, LA 70433
(985) 893-2620
(985) 893-3050
Mailing address
1011 S TYLER ST, COVINGTON, LA 70433
(985) 893-2620
(985) 893-3050
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD02912R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1132896
—
LA
Enumeration date
02/24/2006
Last updated
07/08/2007
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