Individual
DR. PHILLIP A. BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7245 RAIDER RD, BONNE TERRE, MO 63628-3767
(203) 376-4684
Mailing address
140 MILFORD POINT RD, MILFORD, CT 06460-5224
(203) 376-4684
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
028925
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028925
CT LICENSE
CT
Enumeration date
02/21/2006
Last updated
10/05/2020
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