Individual provider · NPI-1

Roberta Elise Brown, MD

Family Medicine · Mentor, OH

NPI number1336281765
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1336281765
Entity type
Individual (NPI-1)
Name
Roberta Elise Brown
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Feb 13, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine35064172OHYes

Practice location

8300 Tyler Blvd
Suite 300
Mentor, OH 44060-4217

Phone 440-205-1529 · Fax 440-205-0840

Mailing address

6865 Harper Dr
Concord Township, OH 44077-5920

Phone 440-357-5131

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