Brent Brewer, PHYSICIAN ASSISTANT

NPI #1316189087 in Pryor, Oklahoma

Provider Information

NPI Number: 1316189087
Entity Type: Individual
Name: Brent Brewer, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PHYSICIAN ASSISTANT
Enumeration Date: Mar 27, 2009
Last Updated: Mar 17, 2018

Practice Location

Address: 231 E GRAHAM AVE
City: Pryor
State: Oklahoma
ZIP Code: 74361-2436
Phone: (918) 825-1405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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