Organization
HOSEA E BROWN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOSEA E BROWN M.D. (PRESIDENT/CEO)
(760) 320-9464
Entity
Organization
Contact information
Practice address
713 N BEAVER ST, FLAGSTAFF, AZ 86001-3142
(928) 774-2321
(760) 320-6244
Mailing address
PO BOX 1503, PALM SPRINGS, CA 92263-1503
(760) 320-9464
(760) 320-6244
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
24719
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
365975
—
AZ
01
—
AZ0803500
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
04/26/2010
Last updated
04/26/2010
Update your record
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