Individual
MADELINE BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3250 W LOWER BUCKEYE RD, PHOENIX, AZ 85009-6729
(602) 876-5596
Mailing address
2939 W DURANGO ST, PHOENIX, AZ 85009-6357
(505) 330-2389
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6869
AZ
363AM0700X
Medical Physician Assistant
6869
AZ
Other
Enumeration date
10/18/2017
Last updated
04/21/2021
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