Bertus L Brown Jr M D Llc

NPI 1336185792 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1336185792
Enumeration Date 06/22/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BERTUS L BERTUS
Position PHYSICIAN OWNER
Phone (573) 426-3333
Fax (573) 426-6666
Practice Location
1501 E 10TH ST
SUITE A
ROLLA MO, 65401-3696, US
Phone (573) 426-3333
Fax (573) 426-6666
Business Location
1501 E 10TH ST
SUITE A
ROLLA MO, 65401-3696, US
Phone (573) 426-3333
Fax (573) 426-6666
Toxanomy
Taxonomy Code 207V00000X
License State Missouri
License Number 2005037955
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According to our database, Bertus L Brown Jr M D Llc NPI is 1336185792, taxonomy code is 207V00000X and license number is 2005037955, license state is located at Missouri. Bertus L Brown Jr M D Llc physically located at 1501 E 10th St, Rolla MO, 65401-3696. NPI Number 1033115704 has the healthcare provider type.

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1336185792 NPI number is provided on an as is basis without warranty of any kind. 1336185792 is maintained by the National Plan & Provider Enumeration System. The contents of Bertus L Brown Jr M D Llc are for informational purposes only.