JONATHAN M. BROWN, D.O., P.C.
Medical Practice at Highway 95, Bullhead City, AZ

License number
Arizona 4060
Category
Medical Practice
Type
Otolaryngology/Facial Plastic Surgery
Owner
Name: LINA N DOEVE
Title: MANAGER
Phone: (928) 788-4530
Address
Address
5300 SOUTH Highway 95 SUITE M, Bullhead City, AZ 86426
National Provider ID: 1154543569
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JONATHAN M. BROWN, D.O., PC

Bullhead City, AZ

Status:
Inactive
Industry:
Osteopathic Physician's Office
Registration:
Jun 22, 2004
Addresses:
4825 Hwy 95 SUITE #2-412, Fort Mohave, AZ 86426 (Physical)
5300 Hwy 95 STE M, Fort Mohave, AZ 86426 (Physical)
State ID:
-1139802-2
Business type:
Statement & Designation By Foreign Corporation
Expiration:
Perpetual
President:
Jonathan M Brown President, inactive, 4825 Hwy 95 #5-412, Fort Mohave, AZ 86426 (Physical)
Agent:
St Service Co,4250 N Drinkwater Blvd 4T, Scottsdale, AZ 85251 (Physical)

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