Daniel R Brown

NPI #1104096684 in Herrin, Illinois

Provider Information

NPI Number: 1104096684
Entity Type: Organization
Organization Name: Daniel R Brown
Primary Specialty: Podiatrist
Enumeration Date: Mar 11, 2008
Last Updated: Aug 18, 2008

Practice Location

Address: 101 N 16TH ST
City: Herrin
State: Illinois
ZIP Code: 62948-1750
Phone: (618) 988-6034

Authorized Official

Name: DANIEL R BROWN
Title: OWNER
Phone: (618) 988-6034

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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