Individual
DR. JOHN RYAN BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2200 BERGQUIST DR STE 1, ATTN: CREDENTIALS (CMC), LACKLAND AFB, TX 78236-9908
(210) 292-6707
(210) 292-7964
Mailing address
2200 BERGQUIST DR STE 1, ATTN: CREDENTIALS (CMC), LACKLAND AFB, TX 78236-9908
(210) 292-6707
(210) 292-7964
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
24706
MS
207W00000X
Ophthalmology Physician
Primary
N7685
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/20/2009
Last updated
12/09/2016
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