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Individual

DR. GARY DEAN BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
5602 SE 15TH ST, MIDWEST CITY, OK 73110-2612
(405) 737-8996
(405) 733-0227
Mailing address
5602 SE 15TH ST, MIDWEST CITY, OK 73110-2612
(405) 737-8996
(405) 733-0227

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2379
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
350053112
RAILROAD MEDICARE
01
5650029
AETNA
Enumeration date
09/07/2005
Last updated
07/15/2010
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