Individual
MR. PHILIP JOHN BRERETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO
Contact information
Practice address
466 E HARDING WAY, STOCKTON, CA 95204
(209) 466-2546
Mailing address
961 MATLEY LN STE 100, RENO, NV 89502-2100
(775) 323-8118
(775) 323-1234
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
C52250
NV
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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