Individual provider · Type 1 NPI

Jacob Randolph Brewer, PA-C

Medical Physician Assistant · Chillicothe, OH

NPI number 1417068149 Active

Practice location

17273 State Route 104
Chillicothe, OH 45601-8608

Call (740) 773-1141 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1417068149

Jacob Randolph Brewer, PA-C's National Provider Identifier is 1417068149, issued on Aug 31, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Chillicothe, OH. The record was last updated on Jul 16, 2007.