Individual
BENJAMIN RICHARD BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
G77821
CA
207Q00000X
Family Medicine Physician
Primary
G77821
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G778210
—
CA
01
—
G77821
STATE MEDICAL LICENSE
CA
Enumeration date
01/18/2007
Last updated
04/16/2024
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