Individual
MR. GARY LEE BROWN
Active
Individual
MR. GARY LEE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA11381
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1012194
NCCPA
CA
Enumeration date
01/15/2007
Last updated
09/13/2016
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