Provider Demographics
NPI:1992765531
Name:BROWN, TODD ALMA (MD)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:ALMA
Last Name:BROWN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:291 S MAIN ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:SMITHFIELD
Mailing Address - State:UT
Mailing Address - Zip Code:84335-1902
Mailing Address - Country:US
Mailing Address - Phone:435-563-6211
Mailing Address - Fax:435-563-9481
Practice Address - Street 1:291 S MAIN ST
Practice Address - Street 2:SUITE C
Practice Address - City:SMITHFIELD
Practice Address - State:UT
Practice Address - Zip Code:84335-1902
Practice Address - Country:US
Practice Address - Phone:435-563-6211
Practice Address - Fax:435-563-6211
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-27
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
UT891804041205207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTE33393Medicare UPIN