Individual
JOHN ALBERT BRECHT IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2040 GYORKO DRIVE, GRANVILLE, WV 26534
(469) 855-7059
Mailing address
86 CHAUCER CIR, BALDWINSVILLE, NY 13027-8249
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WV
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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