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Individual

DR. STANLEY E. BREWER

Active
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Individual

DR. STANLEY E. BREWER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
10315915-1204
UT
2084P0800X
Psychiatry Physician
Primary
02004377
IN
2084P0804X
Child & Adolescent Psychiatry Physician
10315915-1204
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201124800
IN
Enumeration date
04/25/2012
Last updated
10/28/2021
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