Ivan Leavitt Brown
NPI #1013430016 in Groton, Connecticut
Provider Information
- NPI Number
- 1013430016
- Entity Type
- Individual
- Name
- Ivan Leavitt Brown
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Enumeration Date
- Jul 21, 2017
- Last Updated
- Jul 21, 2017
Practice Location
- Address
- 159 TROUT AVENUE
- Address 2
- SUBASE NEW LONDON
- City
- Groton
- State
- Connecticut
- ZIP Code
- 06340
- Phone
- (847) 254-3904
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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