Brown, Randy G

Brown, Randy G is an individual health care provider with primary practice located at 1723 Broadway Suite 310, Cape Girardeau MO 63701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Brown, Randy G can be contacted via phone (573) 331-6333.

Contact Information

Primary practice address
1723 Broadway Suite 310 Cape Girardeau MO 63701
Phone: (573) 331-6333
Fax: (573) 331-7879
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 110363 Missouri

Profile Details

NPI number 1134218662
LBN Legal business name Brown, Randy G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jul 8th, 2007 - about 18 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 1134218662 NPPES
Missouri MEDICAID 208252122

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