Individual
DR. ROGER TIMOTHY BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
635 LAFITTE ST STE B, MANDEVILLE, LA 70448-5269
(985) 624-5305
Mailing address
1011 N CAUSEWAY BLVD STE 25, MANDEVILLE, LA 70471-3282
(985) 624-5305
(985) 624-8643
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
021216
LA
2084P0800X
Psychiatry Physician
Primary
021216
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1673064
—
LA
Enumeration date
09/25/2006
Last updated
09/04/2019
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