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Individual

DOUGLAS KIP BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
707 S MONROE ST, ENID, OK 73701-7286
(580) 616-7630
(580) 237-7516
Mailing address
5300 N INDEPENDENCE AVE, 280, OKLAHOMA CITY, OK 73112-5556
(580) 548-1361
(580) 237-7516

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
12197
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100048740A
OK
05
100048740D
OK
Enumeration date
08/20/2006
Last updated
02/08/2018
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