Provider Demographics
NPI:1720016942
Name:BROWN, PETER WATSON (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:WATSON
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:747 ALTOS OAKS DR
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94024-5432
Mailing Address - Country:US
Mailing Address - Phone:650-941-4545
Mailing Address - Fax:650-941-3232
Practice Address - Street 1:747 ALTOS OAKS DR
Practice Address - Street 2:
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94024-5432
Practice Address - Country:US
Practice Address - Phone:650-941-4545
Practice Address - Fax:650-941-3232
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG269110207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine