Individual
BLAINE BROWN
Active
Individual
BLAINE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
179635-1205
UT
207L00000X
Anesthesiology Physician
A96642
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A966420
—
CA
01
—
P00611233
RR
—
Enumeration date
07/17/2006
Last updated
03/11/2020
Update your record
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