Individual
TODD CHRISTIAN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8435 E BASELINE RD BLDG C, MESA, AZ 85209-4379
(602) 955-1000
(602) 508-4830
Mailing address
4800 N 22ND ST STE 210, PHOENIX, AZ 85016-4963
(602) 955-1000
(602) 508-4830
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
8336T
TX
152W00000X
Optometrist
Primary
OPT-00224
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
394508
—
AZ
Enumeration date
12/03/2013
Last updated
05/20/2021
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