L. BROCK WREN OD PLLC

BOISE, ID
NPI1114220936
Entity TypeOrganization
Authorized ContactLEE BROCK WREN
Owner
208-376-0893
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
(Licence: ID  ODP-100148)
Enumeration Date2010-12-16
Last Update Date2010-12-16
Business Address
L. BROCK WREN OD PLLC
350 N MILWAUKEE ST STE 1188
BOISE, ID 83704-9123
Phone number: 208-376-0893
Mailing Address
L. BROCK WREN OD PLLC
350 N MILWAUKEE ST STE 1188
BOISE, ID 83704-9123
Phone number: 208-376-0893
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