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Contact Information

SAMUEL M BROWN, MD
5121 S COTTONWOOD ST
MURRAY, UT84107-5701
 Phone: 801-507-6415
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SAMUEL M BROWN · (Male)

NPI # 1013998947
Status Active
Credentials MD
Entity Individual
Enumeration date 11/08/2005
Last updated 08/10/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 217647
  • UT License # 6091250-1205
  • MA Medicaid 2066670
  • MA Other J27626 BCBS MA
  • MA Other 469260 TUFTS HEALTH PLAN
Hospital affiliation(s)
  • INTERMOUNTAIN MEDICAL CENTER - (Acute Care)
    5121 SOUTH COTTONWOOD STREET
    MURRAY, UT 84107
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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