LON RUSSELL BREWER

CLIVE, IA
NPI1326095399
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IA  01444)
Enumeration Date2006-05-27
Last Update Date2014-06-02
Business Address
-- LON RUSSELL BREWER D.O.
1924 NW 88TH CT
CLIVE, IA 50325-5463
Phone number: 515-237-3974
Mailing Address
-- LON RUSSELL BREWER D.O.
2213 GRAND AVE
DES MOINES, IA 50312-5305
Phone number: 515-237-3974
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