Individual
JOSHUA BURKET BREWSTER
Active
Individual
JOSHUA BURKET BREWSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01070866A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000809980
ANTHEM PTAN
IN
01
—
000000920403
ANTHEM PTAN
IN
01
—
1102536709
ANTHEM PTAN
IN
05
—
201143880
—
IN
Enumeration date
06/30/2008
Last updated
11/25/2024
Update your record
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