Provider Demographics
NPI:1679371660
Name:BROWER, DANIEL EUGENE
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:EUGENE
Last Name:BROWER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1890 W WARLOW DR STE A
Mailing Address - Street 2:
Mailing Address - City:GILLETTE
Mailing Address - State:WY
Mailing Address - Zip Code:82716-2527
Mailing Address - Country:US
Mailing Address - Phone:307-363-4019
Mailing Address - Fax:
Practice Address - Street 1:1890 W WARLOW DR STE A
Practice Address - Street 2:
Practice Address - City:GILLETTE
Practice Address - State:WY
Practice Address - Zip Code:82716-2527
Practice Address - Country:US
Practice Address - Phone:307-363-4019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY107014-722171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty