Brown, Derek Robert

Brown, Derek Robert is an individual health care provider with primary practice located at 13677 W Mcdowell Rd , Goodyear AZ 85338-2618. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Brown, Derek Robert can be contacted via phone (480) 227-2203.

Contact Information

Primary practice address
13677 W Mcdowell Rd Goodyear AZ 85338-2618
Phone: (480) 227-2203
Fax: (480) 726-2481
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2685 Arizona

Profile Details

NPI number 1548241656
LBN Legal business name Brown, Derek Robert
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548241656 NPPES
Arizona MEDICAID 725012
Arizona Other 39-57220
Arizona Other AW1436

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