Individual
D WILLIAM BROWN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
546 HARKLE RD, SUITE A, SANTA FE, NM 87505-4784
(505) 983-6467
(505) 983-2715
Mailing address
546 HARKLE RD, SUITE A, SANTA FE, NM 87505-4784
(505) 983-6467
(505) 983-2715
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
84153
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00NM000453
BCBS ID
NM
01
—
201001168
PHP
NM
05
—
33621
—
NM
01
—
850344938
FEIN
NM
Enumeration date
03/22/2007
Last updated
04/20/2017
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