Individual
DR. JORDAN DAVID BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7700 WASHINGTON VILLAGE DR STE 130, CENTERVILLE, OH 45459-4094
(937) 531-0195
(937) 531-0196
Mailing address
7700 WASHINGTON VILLAGE DR STE 130, CENTERVILLE, OH 45459-4094
(937) 531-0195
(937) 531-0196
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34.011770
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0296428
—
OH
Enumeration date
06/07/2013
Last updated
11/23/2020
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