Individual
DAVID BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSN
Contact information
Practice address
402 SCOTT DR, SCOTT AFB, IL 62225-5325
(618) 229-4398
Mailing address
2000 RICHVIEW DR, SAINT JACOB, IL 62281-1070
(618) 667-1713
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2004024389
MO
Other
Enumeration date
07/20/2009
Last updated
07/20/2009
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