Individual
BRIAN T BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2305 SOUTH 65 HIGHWAY, MARSHALL, MO 65340-3702
(660) 886-7431
(660) 886-9001
Mailing address
2305 SOUTH 65 HIGHWAY, MARSHALL, MO 65340-3702
(660) 886-7431
(660) 886-9001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
133873
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
133873
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200305600A
—
KS
05
—
918997909
—
MO
Enumeration date
07/13/2006
Last updated
09/15/2015
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