Individual
BRENT BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
231 E GRAHAM AVE, PRYOR, OK 74361-2436
(918) 825-1405
Mailing address
231 E GRAHAM AVE, PRYOR, OK 74361-2436
(918) 825-1405
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2737
OK
Other
Enumeration date
03/27/2009
Last updated
03/17/2018
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