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Individual

DR. JEFFREY RICHARD BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
901 PATIENTS FIRST DR, WASHINGTON, MO 63090-4700
(636) 239-2711
(636) 239-3385
Mailing address
901 PATIENTS FIRST DR, WASHINGTON, MO 63090-4700
(636) 239-2711
(636) 239-3385

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2007016200
MO
207RC0000X
Cardiovascular Disease Physician
Primary
2007016200
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036135939
STATE LICENSE
IL
05
1942403399
MO
01
P01500798
RAILROAD MEDICARE
MO
Enumeration date
06/05/2007
Last updated
09/23/2015
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