Individual
JUSTIN MARSHALL BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
92 HUNT RD, ELIZABETHTOWN, KY 42701-5667
(585) 356-5619
Mailing address
92 HUNT RD, ELIZABETHTOWN, KY 42701-5667
(585) 356-5619
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA237
KY
Other
Enumeration date
03/16/2012
Last updated
12/08/2015
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