Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD2020-1044 | NM |
NPI | 1215295670 |
---|---|
Provider Name | Dr. Landon Dean Brown |
First Address | Rio Rancho, NM 87124-6378 |
Second Address | Rio Rancho, NM 87124-6378 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2012 |
Last Update Date | 16/03/2021 |