Individual
TERRY L BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1235 S COURT ST, CIRCLEVILLE, OH 43113-2108
(740) 420-9440
Mailing address
PO BOX 417, CIRCLEVILLE, OH 43113-0417
(740) 986-9706
(740) 986-5006
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
NA3636
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0827323
—
OH
Enumeration date
09/13/2006
Last updated
07/08/2007
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