Individual
DYLAN R BROWNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-2321
Mailing address
820 E BANNOCK ST, BOISE, ID 83712-7910
(949) 350-8234
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MRM-2153
ID
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RS2025-0233
NM
Other
Enumeration date
05/11/2022
Last updated
07/07/2025
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