Individual
RANDALL K BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MSD
Contact information
Practice address
1330 FIRST AVENUE, EVANSVILLE, IN 47724
(812) 423-6111
(812) 423-5259
Mailing address
PO BOX 4009, 1330 FIRST AVENUE, EVANSVILLE, IN 47724-0009
(812) 423-6111
(812) 423-5259
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12007842A
IN
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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