Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | E4809 | CA |
N | 213ES0131X | Foot Surgery | 36-003339 | OH |
NPI | 1275540130 |
---|---|
Provider Name | Dr. Benjamin Andrew Brownell |
First Address | Fresno, CA 93720-3800 |
Second Address | Fresno, CA 93703-2223 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2006 |
Last Update Date | 07/08/2017 |