Individual
GEORGE O. BROWNE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
315 LANKFORD ST, CLAY CITY, IN 47841-1008
(812) 939-2126
(812) 939-3414
Mailing address
PO BOX 2505, INDIANAPOLIS, IN 46206-2505
(812) 238-7783
(812) 238-4506
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000070A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00613721
RR
IN
Enumeration date
12/21/2005
Last updated
10/18/2010
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