Individual
MR. JESSE THOMAS BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
401 LOUISIANA AVE, LIBBY, MT 59923-2131
(406) 293-0190
Mailing address
1622 SWEDE MT. RD., LIBBY, MT 59923
(406) 293-0190
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MT. # 08
MT
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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