Provider Demographics
NPI:1932187614
Name:BROWN, JAMES S (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:S
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:11307 BRIDGEPORT WAY SW
Mailing Address - Street 2:STE 200
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-3004
Mailing Address - Country:US
Mailing Address - Phone:253-589-1380
Mailing Address - Fax:253-589-1786
Practice Address - Street 1:11307 BRIDGEPORT WAY SW
Practice Address - Street 2:STE 200
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-3004
Practice Address - Country:US
Practice Address - Phone:253-589-1380
Practice Address - Fax:253-589-1786
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00028920207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology