Individual provider · Type 1 NPI

Stacy Brown, PA

Medical Physician Assistant · Colorado Springs, CO

NPI number 1790228765 Active

Practice location

1263 Lake Plaza Dr Ste 120
Colorado Springs, CO 80906-3510

Fax (719) 776-3349

Other practice locations

  • 1400 E Boulder St, Colorado Springs, CO 80909-5533 · (719) 365-6820

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA.0006643 (CO)
Medical Physician Assistant Primary 363AM0700XPA.0006643 (CO)
Physician Assistant 363A00000X008199 (GA)

Medical Physician Assistant: Definition to come...

3 other providers at this address

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About NPI 1790228765

Stacy Brown, PA's National Provider Identifier is 1790228765, issued on Nov 23, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Colorado Springs, CO. The record was last updated on Mar 8, 2023.