NPI 1679972798 · live from the CMS NPI Registry
Jeffrey Brown
Physician Assistant in Glenrock, WY. National Provider Identifier 1679972798, active.
NPI record
| NPI | 1679972798 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 925 Birch St, Glenrock, WY 82637 |
| Practice phone | 307-436-9206 |
| Mailing address | 1118 Cottonwood, Grand Forks, ND 58201 |
| Enumerated | August 14, 2014 |
| Last updated | August 14, 2014 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | PT 606 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.