| NPI | 1861707366 |
|---|---|
| Former Legal Business Name | SCOTT LOGAN BROWN, MD, A PROFESSIONAL CORP. |
| Entity Type | Organization |
| Authorized Contact | BEVERLY HALSEY Biller/Credentialer 951-246-4281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CA G85788) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2010-08-10 |