MICHAEL R BREWER DPM PC
Podiatry at 19 Ave, Phoenix, AZ

License number
Arizona 709
Category
Podiatry
Type
Podiatrist
Owner
Name: MICHAEL R BREWER DPM
Title: PROVIDER/OWNER
Phone: (602) 993-2700
Address
Address
6036 N 19Th Ave SUITE 204, Phoenix, AZ 85015
National Provider ID: 1750685525
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MICHAEL R BREWER DPM, PC

6036 N 19 Ave SUITE 204, Phoenix, AZ 85015

Industry:
Medical Doctor's Office
Registration:
Nov 9, 2010
State ID:
-1643433-8
Expiration:
PERPETUAL
Chief executive officer, Owner, Podiatrist:
Michael R Brewer (Chief executive officer, Owner, Podiatrist), 5302 E Van Buren St UNIT 3053, Phoenix, AZ 85008 (Physical)

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