Brubaker, Mary Louisa

Brubaker, Mary Louisa is an individual health care provider with primary practice located at 2920 N 4Th St , Flagstaff AZ 86004-1816. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Pharmacy Service Providers / Pharmacotherapy. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Brubaker, Mary Louisa can be contacted via phone (928) 213-6121.

Contact Information

Primary practice address
2920 N 4Th St Flagstaff AZ 86004-1816
Phone: (928) 213-6121
Fax: (928) 213-6136
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2368 Arizona
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 7108 Arizona

Profile Details

NPI number 1336117134
LBN Legal business name Brubaker, Mary Louisa
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Aug 4th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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