Doctor Name: | AVERY F BROWNE |
NPI Number: | 1588777304 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 3916 |
Business Practice Address: | 6000 Kanakanak Rd Dillingham, AK - 99576 |
Business Phone Number: | 9078425201 |
Business Fax Number: | 9078429250 |
Mailing Address: | Po Box 130, Medical Staff DILLINGHAM |
State: | AK |
Postal Code: | 995760130 |
Phone Number: | 9078429218 |
Fax Number: | 9078429250 |
NPI Enumeration Date: | 08/16/2006 |
NPI Last Update Date: | 03/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 3916 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |