Provider Demographics
NPI:1336420934
Name:BROWN, ANDREW GLENN (PA)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:GLENN
Last Name:BROWN
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:PO BOX 280
Mailing Address - Street 2:UNCOMPAHGRE MEDICAL CLINIC
Mailing Address - City:NORWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:81423
Mailing Address - Country:US
Mailing Address - Phone:970-327-4233
Mailing Address - Fax:970-327-4228
Practice Address - Street 1:1350 S. ASPEN STREET
Practice Address - Street 2:UNCOMPAHGRE MEDICAL CENTER
Practice Address - City:NORWOOD
Practice Address - State:CO
Practice Address - Zip Code:81423
Practice Address - Country:US
Practice Address - Phone:970-327-4233
Practice Address - Fax:970-327-4288
Is Sole Proprietor?:No
Enumeration Date:2011-09-09
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
WA363A00000X
CO0005103363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant