Individual
JEFFREY PAUL BROWN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
981 LOMAS SANTA FE DR, SOLANA BEACH, CA 92075-2144
(858) 794-9995
(858) 794-9962
Mailing address
981 LOMAS SANTA FE DR, SOLANA BEACH, CA 92075-2144
(858) 794-9995
(858) 794-9962
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT25520
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WPT25520
PT LICENSE #
CA
Enumeration date
05/11/2006
Last updated
07/08/2007
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