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NPI Code Detail

MEDICARE: STEPHEN L BREWBAKER, MD

MEDICARE: STEPHEN L BREWBAKER, MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician26202NC

General Provider Information

NPI Number : 1376712778
Entity Type Code : Organization
Provider Name (Legal Business Name) : STEPHEN L BREWBAKER, MD
Provider Business Mailing Address
First Line : 1726 NEW HANOVER MEDICAL PARK DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-5344
Country : US
Telephone Number : 910-251-0062
Fax Number : 910-251-0220
Provider Business Practice Location Address
First Line : 1726 NEW HANOVER MEDICAL PARK DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-5344
Country : US
Telephone Number : 910-251-0062
Fax Number : 910-251-0220
Authorized Official
Title or Position : OWNER
Name : DR. STEPHEN L BREWBAKER
Credential : M.D.
Telephone Number : 910-251-0062
Provider Enumeration Date : 02/29/2008
Last Update Date : 02/29/2008

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