Individual
MR. DAVID MITCHEL BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
102 SANTA FE AVE, LA JUNTA, CO 81050-1523
(719) 384-8719
(719) 384-8738
Mailing address
27 MONTEBELLO RD, PUEBLO, CO 81001-1236
(719) 545-1530
(719) 545-2899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.0003052
CO
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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