Individual
RUSSELL E BROWN
Active
Individual
RUSSELL E BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
31076
AL
208600000X
Surgery Physician
42789
KY
2086X0206X
Surgical Oncology Physician
Primary
303280
LA
2086X0206X
Surgical Oncology Physician
31076
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01956758
—
MS
05
—
1067083
—
LA
Enumeration date
07/26/2007
Last updated
10/26/2016
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