| Doctor Name: | GERALD DIX BROWN |
| NPI Number: | 1124487400 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP |
| License Number: | COA.18912-NP |
| Business Practice Address: | 9250 Blue Ash Rd Blue Ash, OH - 452426822 |
| Business Phone Number: | 5137927445 |
| Business Fax Number: | 5137914042 |
| Mailing Address: | 9250 Blue Ash Rd, BLUE ASH |
| State: | OH |
| Postal Code: | 452426822 |
| Phone Number: | 5137927445 |
| Fax Number: | 5137914042 |
| NPI Enumeration Date: | 02/16/2016 |
| NPI Last Update Date: | 03/16/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | COA.18912-NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |