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Individual

DR. SEAN R MCBREARTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8367 MORPHY AVE STE B, FAIRHOPE, AL 36532-3653
(251) 410-6334
(251) 410-6466
Mailing address
8367 MORPHY AVE STE B, FAIRHOPE, AL 36532-3653
(251) 410-6334
(251) 410-6466

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
052116
CO
207Q00000X
Family Medicine Physician
Primary
35587
AL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
024420
KAISER COMMERCIAL NUMBER
CO
05
12050580
CO
Enumeration date
03/25/2011
Last updated
04/18/2018
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