Individual
JOHN BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5028 SOUTH CHASSIS, MESA, AZ 85212-4926
(406) 599-2871
Mailing address
5028 SOUTH CHASSIS, MESA, AZ 85212
(406) 599-2871
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
146082
MT
Other
Enumeration date
10/22/2019
Last updated
01/09/2022
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