Individual
DR. TIMOTHY ROLAND BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1335 PHAY AVE STE D, CANON CITY, CO 81212-2349
(719) 275-4061
(719) 275-4058
Mailing address
PO BOX 1292, CANON CITY, CO 81215-1292
(719) 275-4061
(719) 275-4058
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
28896
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06575749
—
CO
Enumeration date
06/05/2006
Last updated
05/20/2021
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