Individual
DOUG ALLEN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
375 W 24TH ST, RIFLE, CO 81650-3247
(719) 373-0185
Mailing address
PO BOX 7067, COLORADO SPRINGS, CO 80933-7067
(719) 373-0185
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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