Individual
MR. CLEVELAND BROWN IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
INTERSECTION HIGHWAYS N12 & N7, FORT DEFIANCE, AZ 86504
(928) 729-8328
Mailing address
PO BOX 1237, FORT DEFIANCE, AZ 86504-1237
(928) 729-5417
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-2-23512
OH
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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