Individual
JEREMY BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2211 LOMAS BLVD NE FL 2, ALBUQUERQUE, NM 87106-2719
(505) 272-2336
(505) 272-5103
Mailing address
933 BRADBURY DR SE STE 2222, ALBUQUERQUE, NM 87106-4375
(505) 272-1320
(505) 272-8060
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA2015-0035
NM
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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