Provider Demographics
NPI:1871594879
Name:BROWN, ALINE C (MD)
Entity type:Individual
Prefix:DR
First Name:ALINE
Middle Name:C
Last Name:BROWN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 54367
Mailing Address - Street 2:STE 411
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73154-1367
Mailing Address - Country:US
Mailing Address - Phone:405-521-9490
Mailing Address - Fax:405-429-7977
Practice Address - Street 1:3400 NW EXPRESSWAY
Practice Address - Street 2:STE 411
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4493
Practice Address - Country:US
Practice Address - Phone:405-945-5259
Practice Address - Fax:405-945-4812
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-02
Last Update Date:2016-08-18
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Provider Licenses
StateLicense IDTaxonomies
OK13738207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100105970AMedicaid
OKOK100218Medicare PIN