Provider Demographics
NPI:1831159540
Name:BROWN, MARY-HELENE (MD)
Entity type:Individual
Prefix:DR
First Name:MARY-HELENE
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13241 N 14TH PL
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022-4919
Mailing Address - Country:US
Mailing Address - Phone:602-993-3227
Mailing Address - Fax:
Practice Address - Street 1:5757 W THUNDERBIRD RD
Practice Address - Street 2:STE E-157
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85306-4641
Practice Address - Country:US
Practice Address - Phone:602-393-2450
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ15293207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ626524OtherAETNA
AZ75735OtherPACIFICARE
AZ2036004OtherCIGNA
AZ255340Medicaid
AZ07-00103OtherUNITED HEALTHCARE
AZAZ0002500OtherBLUE CROSS BLUE SHIELD
AZ1Z2263OtherHEALTHNET
AZ75735OtherPACIFICARE
AZ07-00103OtherUNITED HEALTHCARE