Individual
PAUL Q BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
618 4TH ST, WILLIAMSBURG, VA 23185-5815
(757) 887-7455
Mailing address
1557A BALLARD DR, NEWPORT NEWS, VA 23603-1030
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
1841635836
VA
1710I1002X
Independent Duty Corpsman
Primary
—
VA
Other
Enumeration date
05/03/2013
Last updated
04/20/2021
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