Doctor Name: | DR. JONATHAN M BROWN |
NPI Number: | 1184651580 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 4060 |
Business Practice Address: | 2755 Silver Creek Rd Bullhead City, AZ - 86442 |
Business Phone Number: | 9284441491 |
Business Fax Number: | 9284441497 |
Mailing Address: | 4825 Highway 95, Suite 5, #412 FORT MOHAVE |
State: | AZ |
Postal Code: | 864268315 |
Phone Number: | 9287884530 |
Fax Number: | |
NPI Enumeration Date: | 06/28/2006 |
NPI Last Update Date: | 05/29/2012 |
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. |