Crete Brown is a Clinical in Pocatello, Idaho. Crete Brown practices all healthcare services and medical treatments related to Clinical. The NPI Number for Crete Brown is 1407947096. The last update date is 2007-07-08.
Crete Brown's current location address is 303 North 12th Ave, Pocatello, Idaho. You can contact this provider via phone number 2082512400 and fax number 2082334224. The mailing address for Crete Brown is 303 North 12th Ave, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Crete Brown |
|---|---|
| Address | 303 North 12th Ave, Pocatello, Idaho |
| Phone Number | 2082512400 |
| Fax Number | 2082334224 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1407947096 |
|---|---|
| Provider Enumeration Date | 2006-09-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 303 North 12th Ave |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 83204 |
| Phone Number | 2082512400 |
| Fax Number | 2082334224 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 529 |
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Post Comment/ Review Below
What is the unique identification code assigned to Crete Brown by the Centers for Medicare & Medicaid Services?
The Crete Brown has been issued the NPI (National Provider Identifier) 1407947096. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Crete Brown's facilities are situated?
The facilities of Crete Brown are physically located at the following address: 303 North 12Th Ave, Pocatello, ID, 83204.
What is Crete Brown's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Crete Brown is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1407947096 to Crete Brown?
The Centers for Medicare & Medicaid Services originally issued the 1407947096 to Crete Brown on 2006-09-27.
As of what date were the details pertaining to Crete Brown last refreshed?
The information related to the Crete Brown, including its address, specialty, and other relevant details, was last updated on 2007-07-08.