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Individual

JOSEPH LEWIS BREWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
2676 S TUCANA CT, GILBERT, AZ 85295-1450
(928) 242-2387
Mailing address
2676 S TUCANA CT, GILBERT, AZ 85295-1450
(928) 242-2387

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2116
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2116
ARIZONA OPTOMETRIC ASSOCIATION
AZ
Enumeration date
05/29/2017
Last updated
07/21/2022
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