Individual
MRS. REBECCA GAHAN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
150 N ROADRUNNER PKWY, LAS CRUCES, NM 88011
(575) 556-6440
(575) 556-6440
Mailing address
454 TAYLOR RD, MONTGOMERY, AL 36117-3563
(334) 613-9000
(334) 286-6311
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA2017-0017
NM
Other
Enumeration date
01/25/2016
Last updated
05/01/2018
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