Individual
NATHAN D BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
698 12TH ST, OGDEN, UT 84404-6200
(801) 475-3700
(801) 475-3701
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12369448-1204
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609221696
—
UT
Enumeration date
04/27/2016
Last updated
07/29/2021
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