Individual
SHANNON BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-7101
(520) 694-8888
(520) 694-2353
Mailing address
3320 CAMP BOWIE BLVD APT 2110, FORT WORTH, TX 76107-2756
(903) 748-7115
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
R4528
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2022
Last updated
07/02/2025
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