Leon J. Brown, Jr., M.d., P.c. | |
101 Cowardin Ave Suite 105 Richmond VA 23224-2078 | |
(804) 232-7876 | |
Not Available |
Full Name | Leon J. Brown, Jr., M.d., P.c. |
---|---|
Speciality | Family Medicine |
Location | 101 Cowardin Ave, Richmond, Virginia |
Authorized Official Name and Position | Chris Darling (ASSOCIATE) |
Authorized Official Contact | 8044023833 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Leon J. Brown, Jr., M.d., P.c. 101 Cowardin Ave Suite 105 Richmond VA 23224-2078 Ph: (804) 232-7876 | Leon J. Brown, Jr., M.d., P.c. 101 Cowardin Ave Suite 105 Richmond VA 23224-2078 Ph: (804) 232-7876 |
NPI Number | 1487893061 |
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Provider Enumeration Date | 02/05/2009 |
Last Update Date | 04/07/2009 |
Medicare PECOS PAC ID | 0042377749 |
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Medicare Enrollment ID | O20090325000143 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487893061 | NPI | - | NPPES |
005672601 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 101028525 (Virginia) | Primary |
Provider Name | Leon Junius Brown |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174535009 PECOS PAC ID: 0941367635 Enrollment ID: I20090325000056 |
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