Individual provider · NPI-1

Robert James Brown, BCO

Technician/Technologist, Ocularist · Tempe, AZ

NPI number1376151241
StatusActive
Last updated in NPPESJul 16, 2020

Details

NPI
1376151241
Entity type
Individual (NPI-1)
Name
Robert James Brown
Credential
BCO
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 16, 2020
Certification date
Jul 16, 2020
Last updated
Jul 16, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1700X Technician/Technologist, Ocularist––Yes
174400000X Specialist––

Practice location

3025 S Kenneth Pl
Tempe, AZ 85282-3942

Phone 480-264-3041

Mailing address

3025 S Kenneth Pl
Tempe, AZ 85282-3942

Phone 480-264-3041

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