Individual
DR. JONATHAN BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
715 GRANDVIEW AVE, PAWHUSKA, OK 74056-3201
(918) 287-9300
(918) 287-6138
Mailing address
2323 S HARVARD AVE, TULSA, OK 74114-3301
(918) 293-2140
(918) 293-2195
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20530
OK
Other
Enumeration date
12/06/2005
Last updated
10/13/2020
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