Individual
JON MILES BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2220 W IOWA AVE, CHICKASHA, OK 73018-2738
(405) 224-2300
(405) 779-2143
Mailing address
2220 W IOWA AVE, CHICKASHA, OK 73018-2738
(405) 224-2300
(405) 779-2143
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0066268
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200074160A
—
OK
Enumeration date
01/20/2006
Last updated
02/02/2009
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