Individual
DR. BARBARA WILLIS BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02948
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11769916
CAQH
MO
01
—
TO2948
MISSOURI LICENSE
MO
Enumeration date
05/25/2007
Last updated
01/13/2011
Update your record
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