Provider Demographics
NPI:1376584359
Name:BROWN, EDUARDO N (MD)
Entity Type:Individual
Prefix:DR
First Name:EDUARDO
Middle Name:N
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:302 EL CAMINO REAL
Mailing Address - Street 2:STE 5
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85635-2860
Mailing Address - Country:US
Mailing Address - Phone:520-458-4335
Mailing Address - Fax:520-452-2232
Practice Address - Street 1:75 COLONIA DE SALUD
Practice Address - Street 2:SUITE 200C
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635-2487
Practice Address - Country:US
Practice Address - Phone:520-335-2800
Practice Address - Fax:520-335-2964
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2013-06-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ12881207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ208357Medicaid
D36603Medicare UPIN
AZZ74135Medicare PIN