RANDALL G BREWER

ALBUQUERQUE, NM
NPI1770677148
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NM  PA-6818)
Enumeration Date2006-10-03
Last Update Date2008-08-19
Business Address
RANDALL G BREWER PA-C
PMG ATRISCO 3901 ATRISCO NW
ALBUQUERQUE, NM 87120
Phone number: 505-462-7575
Mailing Address
RANDALL G BREWER PA-C
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-5356
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