Individual
LEWIS J BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
345 E VIRGINIA AVE, PHOENIX, AZ 85004-1202
(602) 254-3151
(602) 256-9581
Mailing address
345 E VIRGINIA AVE, PHOENIX, AZ 85004-1202
(602) 254-3151
(602) 256-9581
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
4339
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z2091
HEALTHNET ID
AZ
05
—
200345
—
AZ
01
—
AZ0024370
BCCS ID
AZ
Enumeration date
07/25/2006
Last updated
07/09/2007
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