James Lee Brock OPTICIAN

NPI 1316034754 - Technician/Technologist - 156FX1800X

NPI Details
NPI 1316034754
Gender Male
Enumeration Date 10/06/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
108 W GEORGE ST
ARCANUM OH, 45304-1109, US
Phone (937) 692-9974
Fax
Business Location
3863 DREW RD
ARCANUM OH, 45304-9730, US
Phone (937) 547-9891
Fax
Toxanomy
Taxonomy Code 156FX1800X
License State Ohio
License Number S. 7326
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According to our database, Mr. James Lee Brock OPTICIAN NPI is 1316034754, taxonomy code is 156FX1800X and license number is S. 7326, license state is located at Ohio. James Lee Brock OPTICIAN physically located at 108 W George St, Arcanum OH, 45304-1109. NPI Number James Lee Brock OPTICIAN has the Individual type.

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1316034754 NPI number is provided on an as is basis without warranty of any kind. 1316034754 is maintained by the National Plan & Provider Enumeration System. The contents of James Lee Brock OPTICIAN are for informational purposes only.