Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 321410 | LA |
N | 2084N0400X | Neurologist | 321410 | LA |
N | 2084V0102X | Vascular Neurology | 321410 | LA |
NPI | 1043500614 |
---|---|
Provider Name | Dr. Merritt Weaver Brown III |
First Address | New Orleans, LA 70112-2272 |
Second Address | Marrero, LA 70072-3151 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2011 |
Last Update Date | 20/01/2021 |