Individual
MR. JACOB RANDOLPH BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-8608
(740) 773-1141
Mailing address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-8608
(740) 773-1141
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
07/16/2007
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