Individual
DAVID WAYNE BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 COMMERCE STREET, YUKON, OK 73099
(405) 422-8883
Mailing address
633 SW 46TH ST, OKLAHOMA CITY, OK 73109-7307
(405) 476-7400
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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