Individual
COLIN D BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
802 KENYON RD, FORT DODGE, IA 50501-5740
(515) 573-3101
Mailing address
PO BOX 310117, FORT DODGE, IA 50331-0117
(800) 303-7642
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
091364
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0114603
—
IA
Enumeration date
11/18/2005
Last updated
09/26/2007
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