NPI | 1356729545 |
---|---|
Other Name | JOEY BROWN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: WV 10530) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WA PO61507480) |
390200000X Student in an Organized Health Care Education/Training Program | |
2255A2300X Specialist/Technologist, Athletic Trainer | |
Enumeration Date | 2015-05-08 |
Last Update Date | 2025-09-16 |