Individual
MARK ALLEN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
15-02092
KS
363AS0400X
Surgical Physician Assistant
Primary
2005004531
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0215422
DEPARTMENT OF LABOR WA
WA
01
—
0604585
UNITED HEALTHCARE
MO
01
—
18942
COX HEALTH PLANS
MO
01
—
195811
ATHEM BLUE CROSS/SHIELD
MO
01
—
23083
COX HEALTH PLANS UPI
MO
05
—
502277007
—
MO
01
—
Q42967
USPS (W/C)
MO
Enumeration date
05/30/2006
Last updated
02/03/2025
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