Dr. Randy G Brown
Cardiothoracic Vascular Surgeon
1723 Broadway Suite 310
Cape Girardeau
, Missouri 63701
Dr. Randy G Brown
Cardiothoracic Vascular Surgeon
1723 Broadway Suite 310
Cape Girardeau
, Missouri 63701
(573) 335-4601
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Randy G Brown
- 190 Scenic View Ln
- Cape Girardeau, MO
- Zip : 63701-8136
- Phone : (573) 335-4601
Second Address
- Dr. Randy G Brown
- 1723 Broadway Suite 310
- Cape Girardeau, MO
- Zip : 63701
- Fax : (573) 331-7879
- Phone : (573) 331-6333
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 110363 | MO |
National Provider Identifier
| NPI | 1134218662 |
|---|---|
| Provider Name | Dr. Randy G Brown |
| First Address | Cape Girardeau, MO 63701-8136 |
| Second Address | Cape Girardeau, MO 63701 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/10/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 208252122 | (05) | MO |
| E71471 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.