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Individual

ISRAEL K BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2137 HERNDON AVE, SUITE 102, CLOVIS, CA 93611-6306
(559) 466-7100
(559) 466-7102
Mailing address
1070 N DEWITT AVE, CLOVIS, CA 93611-7040
(559) 466-7100
(559) 466-7102

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2010003179
MO
207V00000X
Obstetrics & Gynecology Physician
Primary
20A11716
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1992024640
MO
01
431560263
TRICARE WEST
MO
01
P00836335
RAILROAD MEDICARE
Enumeration date
05/20/2010
Last updated
05/03/2017
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