Individual
JUDY L BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
US HWY 491 NORTH, SHIPROCK, NM 87420
(505) 368-6001
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
116266-1206
UT
363AM0700X
Medical Physician Assistant
116266-1206
UT
Other
Enumeration date
05/11/2006
Last updated
05/22/2019
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