Individual
MARK G BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1906 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4227
(970) 447-4065
Mailing address
401 LIBERTY AVE STE 2000, THREE GATEWAY CENTER, 20TH FLOOR, PITTSBURGH, PA 15222-1029
(412) 223-2272
(412) 281-6320
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD072455L
PA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
35.136171
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001826337-0024
—
PA
05
—
0018263370001
—
PA
05
—
0018263370026
—
PA
01
—
131507
HIGHMARK BCBS
PA
01
—
P00767228
RAILROAD MEDICARE
PA
Enumeration date
08/10/2005
Last updated
11/17/2021
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