Jon-Glen Allan Brown, PA
Physician Assistant in North Las Vegas, NV. Individual provider (NPI-1).
NPI number1477989168
StatusActive
Last updated in NPPESSep 25, 2013
Details
- NPI
- 1477989168
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jon-Glen Allan Brown
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 25, 2013
- Last updated
- Sep 25, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
2404 Mountain Rail DrNorth Las Vegas, NV 89084-3128
Phone 210-560-7870
Mailing address
2404 Mountain Rail DrNorth Las Vegas, NV 89084-3128
Phone 210-560-7870
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