Provider Demographics
NPI:1740260942
Name:BROWN, JAMES WELLINGTON (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:WELLINGTON
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 848
Mailing Address - Street 2:
Mailing Address - City:FAIRBORN
Mailing Address - State:OH
Mailing Address - Zip Code:45324-0848
Mailing Address - Country:US
Mailing Address - Phone:937-257-9678
Mailing Address - Fax:937-257-9680
Practice Address - Street 1:4881 SUGAR MAPLE DR
Practice Address - Street 2:88 MDG/SGQXN
Practice Address - City:WRIGHT PATTERSON AFB
Practice Address - State:OH
Practice Address - Zip Code:45433-5546
Practice Address - Country:US
Practice Address - Phone:937-257-9678
Practice Address - Fax:937-257-9680
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-23
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL00013762207UN0902X
FLME22265207UN0902X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207UN0902XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Imaging & Therapy