Jonathan M. Brown, D.O., P.C.
Organization Active NPI Otolaryngology/Facial Plastic Surgery Physician · Fort Mohave, AZ
NPI 1154543569 · NPPES record last updated Oct 15, 2012
Key facts
- NPI
- 1154543569
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician 207YX0905X
- License
- 4060 (AZ)
- Legal business name
- JONATHAN M. BROWN, D.O., P.C.
- Practice address
- 5300 South Highway 95
Suite M
Fort Mohave, AZ 86426 - Phone
- (928) 788-4530
- NPI assigned
- May 3, 2007
- Organization subpart
- No
Authorized official
- Name
- Lina N Doeve
- Title
- Manager
- Phone
- (928) 788-4530
Practitioners 1
-
Jonathan M Brown, DO
National Provider Directory
Locations
5300 S Highway 95
Ste M
Fort Mohave, AZ 86426
Phone (702) 739-4263
4825 S Highway 95
Ste 5
Fort Mohave, AZ 86426
Phone (702) 798-3008
3636 N Stockton Hill Rd
Ste 2
Kingman, AZ 86409
Phone (928) 692-9555
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician |
207YX0905X | 4060 | AZ | Yes |
Addresses
Primary practice location
5300 South Highway 95
Suite M
Fort Mohave, AZ 86426
Mailing address
4825 Highway 95
Suite 5 #412
Fort Mohave, AZ 96426
Phone (928) 788-4530
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 878209 | Medicaid | AZ |
Other providers in Fort Mohave, AZ
- Deborah Ann Hughson
- Tyler Lee Hunt
- Okey Iloegbunam
- Institute of Urology, LLC
- Jyhfang Jehng
- Isabelle Joseph
- Jr Sorelle Arizona PC
- Shakeel Aziz Kahn
- Karen F Arcotta MD LTD
- Kaye a Cunningham MD PC
All providers in Fort Mohave, AZ · Otolaryngology/Facial Plastic Surgery Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.