Doctor Name: | MR. MARK FREDERICK BROWN |
NPI Number: | 1689672032 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 018087 |
Business Practice Address: | One Saint Mary Place Shreveport, LA - 711014343 |
Business Phone Number: | 3186816174 |
Business Fax Number: | 3186816162 |
Mailing Address: | 939 Delaware St, SHREVEPORT |
State: | LA |
Postal Code: | 71106 |
Phone Number: | 3186816174 |
Fax Number: | 3186817695 |
NPI Enumeration Date: | 07/11/2005 |
NPI Last Update Date: | 07/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0120X |
License Number: | 018087 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Pediatric Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |