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Individual
CHARLES B BRIMMER
Active
Individual
CHARLES B BRIMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
02008413A
IN
207R00000X
Internal Medicine Physician
R3803
AZ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
11022760A
IN
Other
Enumeration date
03/28/2022
Last updated
06/04/2026
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