Individual
RONALD DAVID BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20002 E WILDERNESS TRCE, COOKSON, OK 74427-2090
(918) 200-2369
(918) 457-4889
Mailing address
20002 E WILDERNESS TRCE, COOKSON, OK 74427-2090
(918) 200-2369
(918) 457-4889
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23318
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200089070A
—
OK
Enumeration date
05/11/2006
Last updated
09/30/2020
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