Provider Demographics
NPI:1255605705
Name:BROWN, STEVEN EVANS (DO)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:EVANS
Last Name:BROWN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2646 PATTERSON RD STE A
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81506-1971
Mailing Address - Country:US
Mailing Address - Phone:970-241-5585
Mailing Address - Fax:970-242-1740
Practice Address - Street 1:2646 PATTERSON RD STE A
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81506-1971
Practice Address - Country:US
Practice Address - Phone:970-241-5585
Practice Address - Fax:970-242-1740
Is Sole Proprietor?:No
Enumeration Date:2012-03-01
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CODR.0068162207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program