Individual
DR. DEREK MCGRATH BROWNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
107 E OAK AVE, FLAGSTAFF, AZ 86001-1818
(928) 913-8800
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
011316
AZ
207Q00000X
Family Medicine Physician
20A10903
CA
207R00000X
Internal Medicine Physician
20A10903
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EFF.8/22/2011
—
CA
01
—
P01460367-EFF 2/9/15
RR MEDICARE-DU4032
CA
Enumeration date
11/01/2010
Last updated
10/29/2024
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