Individual
RANDALL J BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1902 MAY ST, MARYSVILLE, KS 66508-1200
(785) 562-3942
(785) 562-5149
Mailing address
1902 MAY ST, MARYSVILLE, KS 66508-1200
(785) 562-3942
(785) 562-5149
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
419667
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046810
BC/BS KS
KS
01
—
20483
BC/BS NE
NE
01
—
608151
FIRST GUARD
KS
Enumeration date
07/19/2006
Last updated
07/09/2007
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