Provider Demographics
NPI:1144669631
Name:BROWER, DARREN REED (DMD, MPH)
Entity type:Individual
Prefix:DR
First Name:DARREN
Middle Name:REED
Last Name:BROWER
Suffix:
Gender:M
Credentials:DMD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1530 S 20TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAFFORD
Mailing Address - State:AZ
Mailing Address - Zip Code:85546-4051
Mailing Address - Country:US
Mailing Address - Phone:928-428-5331
Mailing Address - Fax:982-428-0992
Practice Address - Street 1:1530 S 20TH AVE
Practice Address - Street 2:
Practice Address - City:SAFFORD
Practice Address - State:AZ
Practice Address - Zip Code:85546-4051
Practice Address - Country:US
Practice Address - Phone:928-428-5331
Practice Address - Fax:982-428-0992
Is Sole Proprietor?:No
Enumeration Date:2013-06-18
Last Update Date:2015-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019030508122300000X
AZD008753122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist