Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 145023 | AK |
NPI | 1225473754 |
---|---|
Provider Name | Daniel William Brown |
First Address | Anchorage, AK 99508-2978 |
Second Address | Anchorage, AK 99508-2978 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2013 |
Last Update Date | 20/12/2019 |