Individual
BOBBY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
17 SOUTHVIEW DR, ROLLA, MO 65401-3930
(573) 202-0825
Mailing address
17 SOUTHVIEW DR, ROLLA, MO 65401-3930
(573) 202-0825
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2024044281
MO
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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