Brown, Gordon D

Brown, Gordon D is an individual health care provider with primary practice located at 1034 N 500 W , Provo UT 84604-3380. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Brown, Gordon D can be contacted via phone (801) 919-7850.

Contact Information

Primary practice address
1034 N 500 W Provo UT 84604-3380
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 149830-1205 Utah

Profile Details

NPI number 1598710162
LBN Legal business name Brown, Gordon D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Oct 26th, 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 1598710162 NPPES
Utah Other 870284448BR1 EMIA
Utah Other 107006207101 EMIA
Utah Other 54587 EMIA

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