Individual
THOMAS ROBERT BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1721 E 19TH AVE, SUITE 404, DENVER, CO 80218-1251
(303) 861-4505
(303) 861-9036
Mailing address
1721 E 19TH AVE, SUITE 404, DENVER, CO 80218-1251
(303) 861-4505
(303) 861-9036
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
30068
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01300680
—
CO
01
—
BR40275
BC/BS INDIVIDUAL
CO
01
—
BRF2818
BC/BS INDIVIDUAL
CO
01
—
CO653774
BC/BS GROUP
CO
01
—
THF2808
BC/BS GROUP
CO
Enumeration date
05/04/2006
Last updated
06/29/2010
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