MR. JUSTIN MICHAEL BREWER, MMS, ATC, PA-C
Nursing at Medical Park Dr, Lake Ridge, WV

License number
West Virginia 0110003033
Category
Nursing
Type
Medical
License number
West Virginia 01518
Category
Nursing
Type
Surgical
License number
West Virginia 513
Category
Nursing
Type
Surgical
Address
Address
527 Medical Park Dr STE 400, Lake Ridge, WV 26330
Phone
(681) 342-3500
(681) 342-3507 (Fax)
National Provider ID: 1841427937
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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