Brown, Russell Glen

Brown, Russell Glen is an sole proprietor health care provider with primary practice located at 35 Camino De Milagro , Santa Fe NM 87506-0050. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Brown, Russell Glen can be contacted via phone (505) 670-3524.

Contact Information

Primary practice address
35 Camino De Milagro Santa Fe NM 87506-0050
Phone: (505) 670-3524
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9420 New Mexico
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 9420 New Mexico
Allopathic & Osteopathic Physicians / General Practice 208D00000X 9420 New Mexico
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 9420 New Mexico

Profile Details

NPI number 1205028321
LBN Legal business name Brown, Russell Glen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2007
Last updated Mar 27th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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