Provider Demographics
NPI:1083844237
Name:BROWN, STEPHANIE YVONNE (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:YVONNE
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2450 ASHBY AVE
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-1527
Mailing Address - Country:US
Mailing Address - Phone:510-204-4723
Mailing Address - Fax:510-204-4816
Practice Address - Street 1:2450 ASHBY AVE
Practice Address - Street 2:DEPARTMENT OF EMERGENCY MEDICINE
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-1527
Practice Address - Country:US
Practice Address - Phone:510-204-4723
Practice Address - Fax:510-204-4816
Is Sole Proprietor?:No
Enumeration Date:2009-07-22
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA113800207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine