Doctor Name: | MICHAEL CHARLES BROWN |
NPI Number: | 1962790741 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | OT014398 |
Business Practice Address: | 515 28 3/4 Rd Grand Junction, CO - 815015016 |
Business Phone Number: | 7328903973 |
Business Fax Number: | |
Mailing Address: | 6946 Old Ranch Trl, LITTLETON |
State: | CO |
Postal Code: | 801259053 |
Phone Number: | 7328903973 |
Fax Number: | |
NPI Enumeration Date: | 07/14/2011 |
NPI Last Update Date: | 10/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | OT014398 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |