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Individual

DR. RANDY K. BROWN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4870 E JACKSON ST, MUNCIE, IN 47303-4432
(765) 284-7277
(765) 284-7472
Mailing address
2401 W UNIVERSITY AVE, C/O GARNET E. KING, CARDINAL HEALTH SYSTEM, INC, MUNCIE, IN 47303-3428
(765) 751-5269
(765) 751-2759

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01055804A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000370508
ANTHEM
IN
Enumeration date
10/17/2005
Last updated
07/08/2007
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