Individual
MATTHEW BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5030 E VIRGINIA AVE, PHOENIX, AZ 85008-1627
(602) 376-1993
Mailing address
5030 E VIRGINIA AVE, PHOENIX, AZ 85008-1627
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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