Individual
DR. ZACHARY EDGAR BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1541 FLORIDA AVE STE 305, MODESTO, CA 95350-4439
(209) 575-5833
(209) 575-5836
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
16965
NV
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A121994
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2011
Last updated
04/04/2024
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