Basic Information
| Provider Information | |||||||||
| NPI: | 1487715660 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BROWN | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | L | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 659 BOULEVARD | ||||||||
| Address2: | UNION HOSPITAL DEPARTMENT OF PATHOLOGY | ||||||||
| City: | DOVER | ||||||||
| State: | OH | ||||||||
| PostalCode: | 44622 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3303433311 | ||||||||
| FaxNumber: | 3303640955 | ||||||||
| Practice Location | |||||||||
| Address1: | 659 BOULEVARD | ||||||||
| Address2: | UNION HOSPITAL DEPARTMENT OF PATHOLOGY | ||||||||
| City: | DOVER | ||||||||
| State: | OH | ||||||||
| PostalCode: | 44622 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3303433311 | ||||||||
| FaxNumber: | 3303640955 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/12/2006 | ||||||||
| LastUpdateDate: | 09/13/2007 | ||||||||
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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 | 207ZP0102X | 34-00-4889-B | OH | Y | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology & Clinical Pathology |
No ID Information.