Organization
MARY KAY BREWSTER MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY KAY MARINA BREWSTER (OWNER)
(831) 649-0111
Entity
Organization
Contact information
Practice address
172 EL DORADO ST, MONTEREY, CA 93940-3118
(831) 649-0111
(831) 649-0125
Mailing address
172 EL DORADO ST, MONTEREY, CA 93940-3118
(831) 649-0111
(831) 649-0125
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G84568
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ05129Z
MEDICARE PTAN
CA
Enumeration date
08/16/2006
Last updated
11/30/2007
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