Basic Information
| Provider Information | |||||||||
| NPI: | 1477764066 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BROWD | ||||||||
| FirstName: | SAMUEL | ||||||||
| MiddleName: | ROBERT | ||||||||
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| Credential: | M.D., PH.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4800 SAND POINT WAY NE | ||||||||
| Address2: | W/S W-7729 PO BOX 5371 | ||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981053901 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2066611538 | ||||||||
| FaxNumber: | 2069873925 | ||||||||
| Practice Location | |||||||||
| Address1: | 4800 SAND POINT WAY NE | ||||||||
| Address2: | W/S W-7729 | ||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981053901 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2066611538 | ||||||||
| FaxNumber: | 2069873925 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/24/2007 | ||||||||
| LastUpdateDate: | 03/08/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207T00000X | 5011520-1205 | UT | N | Allopathic & Osteopathic Physicians | Neurological Surgery | 207T00000X | MD00047911 | WA | Y | Allopathic & Osteopathic Physicians | Neurological Surgery |
No ID Information.