| Gary T. Brewer | |
|
504 E Main St Healdton OK 73438-1801 | |
| (580) 229-0407 | |
| (580) 229-0418 |
| Full Name | Gary T. Brewer |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 504 E Main St, Healdton, Oklahoma |
| Authorized Official Name and Position | Gary Thomas Brewer (OWNER) |
| Authorized Official Contact | 5802290407 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary T. Brewer 504 E Main St Healdton OK 73438-1801 Ph: (580) 229-0407 | Gary T. Brewer 504 E Main St Healdton OK 73438-1801 Ph: (580) 229-0407 |
| NPI Number | 1730222811 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 06/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730222811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |