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Individual

MR. DEREK ROBERT BROWN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
13677 W MCDOWELL RD, GOODYEAR, AZ 85338-2618
(480) 227-2203
(480) 726-2481
Mailing address
1159 E KNIGHT LN, TEMPE, AZ 85284-1518
(480) 227-2203

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2685
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
39-57220
EVERCARE GROUP
AZ
05
725012
AZ
01
AW1436
HEALTHNET GROUP
AZ
Enumeration date
11/07/2005
Last updated
07/08/2007
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