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Individual

REGAN R BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
700 W IRONWOOD DR STE 275, COEUR D ALENE, ID 83814-4400
(208) 625-4780
(208) 625-4781
Mailing address
5901 N LIDGERWOOD ST STE 118, SPOKANE, WA 99208-5095

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.60411367
WA

Other

Enumeration date
09/10/2013
Last updated
10/06/2020
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