| Doctor Name: | DR. GARY R BROWN |
| NPI Number: | 1144264755 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | DR.0039722 |
| Business Practice Address: | 1730 N Corona St Colorado Springs, CO - 809077644 |
| Business Phone Number: | 7193657100 |
| Business Fax Number: | 7193657109 |
| Mailing Address: | 8890 N Union Blvd, Ste 160 COLORADO SPRINGS |
| State: | CO |
| Postal Code: | 809207799 |
| Phone Number: | 7193659950 |
| Fax Number: | 7193659969 |
| NPI Enumeration Date: | 06/15/2006 |
| NPI Last Update Date: | 03/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | DR.0039722 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |