Provider Demographics
NPI:1871892281
Name:BROWN, CORY J (DO)
Entity type:Individual
Prefix:DR
First Name:CORY
Middle Name:J
Last Name:BROWN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:611 MITCHELL WAY STE 103
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:CO
Mailing Address - Zip Code:80516-5443
Mailing Address - Country:US
Mailing Address - Phone:303-269-2780
Mailing Address - Fax:
Practice Address - Street 1:611 MITCHELL WAY STE 103
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:CO
Practice Address - Zip Code:80516-5443
Practice Address - Country:US
Practice Address - Phone:303-269-2780
Practice Address - Fax:303-269-2790
Is Sole Proprietor?:No
Enumeration Date:2011-03-24
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COTL.0005999207Q00000X
CODR0059146207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine