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Individual

MR. STEPHEN L BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2417 E 15TH ST, CASPER, WY 82609
(307) 234-3638
(307) 265-0934
Mailing address
2417 E 15TH ST, CASPER, WY 82609
(307) 234-3638
(307) 265-0934

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
4515A
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
302931
BLUE CROSS BLUE SHIELD
WY
Enumeration date
10/24/2006
Last updated
07/08/2007
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