Individual
STANTON HERRICK BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3567 MT. WHITNEY, RIVERDALE, CA 93656-1028
(559) 867-7200
(559) 867-0152
Mailing address
PO BOX 1028, RIVERDALE, CA 93656-1028
(559) 867-7200
(559) 867-0152
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA11937
CA
363AM0700X
Medical Physician Assistant
Primary
PA11937
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA11937
—
CA
Enumeration date
09/22/2006
Last updated
08/29/2016
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