Provider Demographics
NPI:1497506653
Name:BROWN, DENNIS RONALD (DC)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:RONALD
Last Name:BROWN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 KEARNY LN
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-5567
Mailing Address - Country:US
Mailing Address - Phone:580-451-0078
Mailing Address - Fax:
Practice Address - Street 1:827 N CEMETERY RD
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-9462
Practice Address - Country:US
Practice Address - Phone:580-451-0078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4600111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor