Individual
LEO R BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
133 W 400 N, RUPERT, ID 83350-8547
(208) 436-0401
Mailing address
133 W 400 N, RUPERT, ID 83350-8547
(208) 436-0401
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M3607
ID
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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