Individual
JEFFREY BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
925 BIRCH ST, GLENROCK, WY 82637-0786
(307) 436-9206
Mailing address
1118 COTTONWOOD, GRAND FORKS, ND 58201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PT 606
WY
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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