Individual
DR. ICEM E BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4201 N SHILOH DR STE 1235, FAYETTEVILLE, AR 72703-5303
(479) 444-8705
Mailing address
2391 N HIDDEN CREEK DR, FAYETTEVILLE, AR 72704-6353
(479) 225-1857
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
2559
AR
Other
Enumeration date
04/24/2007
Last updated
07/06/2011
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