NPI 1306821731

John William Brazer, MD

Practitioner Family Medicine Physician Coquille, OR

Practice location

Address: 790 E 5th St, Coquille, OR 97423-1755
Phone: (541) 396-3111
Fax: (541) 396-5222
Mailing address: 1900 Woodland Dr, Coos Bay, OR 97420-0000

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence MD07716 (OR)

Other Family Medicine providers in Oregon →

Registry record

NPI: 1306821731
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Dec 2005
Record last updated: 23 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.