Brown, Payton Gordon

Brown, Payton Gordon is an individual health care provider with primary practice located at 769 W Blaine St Ste B , Riverside CA 92507-3970. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Brown, Payton Gordon can be contacted via phone (951) 358-4705.

Contact Information

Primary practice address
769 W Blaine St Ste B Riverside CA 92507-3970
Phone: (951) 358-4705
Fax: (513) 584-7199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 01043159A Michigan

Profile Details

NPI number 1669434361
LBN Legal business name Brown, Payton Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Jun 4th, 2021 - about 3 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 1669434361 NPPES
Indiana Other 01043159A MD LICENSE - INDIANA

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