Organization Name: | JONATHAN M. BROWN, D.O., P.C. |
NPI Number: | 1154543569 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINA N DOEVE (MANAGER) |
Mailing Address: | 5300 South Highway 95 Suite M Fort Mohave |
State: | AZ US |
Postal Code: | 86426 |
Phone Number: | 9287884530 |
Fax Number: | |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 10/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207YX0905X |
License Number: | 4060 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Otolaryngology |
Taxonomy Specialization: | Otolaryngology/Facial Plastic Surgery |
Taxonomy Definition: | An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |