Doctor Name: | DAVID BROWN |
NPI Number: | 1033381181 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | PA16548 |
Business Practice Address: | 57402 29 Palms Hwy Ste 1 Yucca Valley, CA - 922842957 |
Business Phone Number: | 7602281800 |
Business Fax Number: | |
Mailing Address: | 74857 Indianola Dr, 29 PALMS |
State: | CA |
Postal Code: | 922773916 |
Phone Number: | 7605522686 |
Fax Number: | |
NPI Enumeration Date: | 03/28/2008 |
NPI Last Update Date: | 04/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA16548 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |