Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | MD421479 | PA |
NPI | 1104925544 |
---|---|
Provider Name | Dr. Stephanie Shaw Brown |
First Address | Mc Murray, PA 15317-2537 |
Second Address | Mc Murray, PA 15317-2537 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 06/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1012523460001 | (05) | PA |
H06432 | (02) | PA |