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Individual
DR. ALAN W. BREWER
Active
Individual
DR. ALAN W. BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
104649
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0855711
AETNA
MO
01
—
10001084400
COMMUNITY HEALTH PLAN
MO
05
—
100236440A
—
KS
01
—
21647020
BLUE CROSS/BLUE SHIELD KC
MO
05
—
246807846
—
MO
01
—
26D0896653
CLIA
MO
01
—
703716
BLUE CROSS/BLUE SHIELD KS
MO
Enumeration date
07/17/2006
Last updated
11/20/2017
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