Provider Demographics
NPI:1538133046
Name:BROWN, DAVID M (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:M
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:141 N MERAMEC AVE
Mailing Address - Street 2:SUITE 212
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63105-3750
Mailing Address - Country:US
Mailing Address - Phone:314-726-2425
Mailing Address - Fax:314-726-3099
Practice Address - Street 1:141 N MERAMEC AVE
Practice Address - Street 2:SUITE 212
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63105-3750
Practice Address - Country:US
Practice Address - Phone:314-726-2425
Practice Address - Fax:314-726-3099
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2011-05-16
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Provider Licenses
StateLicense IDTaxonomies
MOR7B24207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOA10032Medicare UPIN