Provider Demographics
NPI:1558331769
Name:BROWER, RICHARD ODGERS JR (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ODGERS
Last Name:BROWER
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:241 S BRYN MAWR AVE
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-2243
Mailing Address - Country:US
Mailing Address - Phone:610-527-3068
Mailing Address - Fax:610-527-3634
Practice Address - Street 1:241 S BRYN MAWR AVE
Practice Address - Street 2:
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-2243
Practice Address - Country:US
Practice Address - Phone:610-527-3068
Practice Address - Fax:610-527-3634
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-23
Last Update Date:2010-06-22
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Provider Licenses
StateLicense IDTaxonomies
PAMD038710-L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C29461Medicare UPIN