person
Mr. Justin Michael Brewer, MMS,ATC,PA-C
Surgical Physician Assistant in Bridgeport, West Virginia
NPI 1841427937

Justin Michael Brewer is a Surgical Physician Assistant based in Bridgeport, WV and is specialized in Surgical. Justin Michael Brewer practices in Bridgeport, WV and has the professional credentials of MMS,ATC,PA-C. The NPI Number for Justin Michael Brewer is 1841427937 and holds a License No. 0110003033 (West Virginia).

The current practice location address for Justin Michael Brewer is 527 Medical Park Dr Ste 400, Bridgeport, WV and can be reached out via phone at 681-342-3500 and via fax at 681-342-3507.

Location: 527 Medical Park Dr Ste 400, Bridgeport, WV, 26330-9010
person
Provider Profile Details
NPI Number
1841427937
Provider Name
Justin Michael Brewer
Credential
MMS,ATC,PA-C
Provider Entity Type
Individual
Gender
Male
Address
527 Medical Park Dr Ste 400, Bridgeport, WV, 26330-9010
Phone Number
681-342-3500
Fax Number
681-342-3507
Provider Enumeration Date
06/16/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA37501 01 WV MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
527 Medical Park Dr Ste 400
City
State
Zip
26330-9010
Phone Number
681-342-3500
Fax Number
681-342-3507
person
Provider Business Mailing Address Details
Address
527 Medical Park Dr Ste 400
City
State
Zip
26330-9010
Phone Number
681-342-3500
Fax Number
681-342-3507
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
01518 (West Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
0110003033 (Virginia)
Definition
Definition to come...
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