Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 41234 | AZ |
N | 208600000X | Surgeon | 41234 | AZ |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 41234 | AZ |
NPI | 1114124013 |
---|---|
Provider Name | Richard Joseph Brown |
First Address | Scottsdale, AZ 85254-6130 |
Second Address | Scottsdale, AZ 85254-6130 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2007 |
Last Update Date | 29/12/2010 |