Provider Demographics
NPI:1770683294
Name:BROWN, HARRY H (OD, MD)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:H
Last Name:BROWN
Suffix:
Gender:M
Credentials:OD, MD
Other - Prefix:
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Mailing Address - Street 1:311 CRYSTAL CT
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-4231
Mailing Address - Country:US
Mailing Address - Phone:501-663-6236
Mailing Address - Fax:
Practice Address - Street 1:4301 W MARKHAM ST
Practice Address - Street 2:UAMS DEPT. OF PATHOLOGY #517
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-7101
Practice Address - Country:US
Practice Address - Phone:501-526-7507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARN7615207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D04621OtherUPIN
52189OtherPRIMARY MEDICARE
71604624221OtherQUALCHOICE
N7615OtherTRICARE
52189OtherBCBS