Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | 32472 | CO |
N | 207RP1001X | Pulmonary Disease | 32472 | CO |
NPI | 1003889627 |
---|---|
Provider Name | Richard A Brown |
First Address | Durango, CO 81301-8296 |
Second Address | Durango, CO 81301-8296 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2006 |
Last Update Date | 09/07/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01324722 | (05) | CO |
C95833 | (02) |