MARY K BRETHOUR

BIRMINGHAM, AL
NPI1548435589
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: AL  1-075081)
Enumeration Date2008-04-29
Last Update Date2012-02-01
Business Address
-- MARY K BRETHOUR NP
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Phone number: 205-934-6600
Mailing Address
-- MARY K BRETHOUR NP
602 W UNIVERSITY AVE PROVIDER ENROLLMENT - NCWY
URBANA, IL 61801-2530
Phone number: 217-383-6792
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