Verlyn Dean Broek O.D.

NPI 1760559223 - Optometrist - 152W00000X

NPI Details
NPI 1760559223
Gender Male
Enumeration Date 11/29/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
215 4TH AVE N
TWIN FALLS ID, 83301-6139, US
Phone (208) 734-5100
Fax (208) 734-5134
Business Location
215 4TH AVE N
TWIN FALLS ID, 83301-6139, US
Phone (208) 734-5100
Fax (208) 734-5134
Toxanomy
Taxonomy Code 152W00000X
License State Idaho
License Number ODP-542
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According to our database, Dr. Verlyn Dean Broek O.D. NPI is 1760559223, taxonomy code is 152W00000X and license number is ODP-542, license state is located at Idaho. Verlyn Dean Broek O.D. physically located at 215 4th Ave N, Twin Falls ID, 83301-6139. NPI Number Verlyn Dean Broek O.D. has the Individual type.

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1760559223 NPI number is provided on an as is basis without warranty of any kind. 1760559223 is maintained by the National Plan & Provider Enumeration System. The contents of Verlyn Dean Broek O.D. are for informational purposes only.