Individual
MR. JACOB C. BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5300 SE 29TH ST, DEL CITY, OK 73115-4702
(405) 835-2770
Mailing address
5200 SE 51ST ST, OKLAHOMA CITY, OK 73135-4202
(479) 966-0882
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2738
OK
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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