BROOKS RANDALL ALLDREDGE

ALBUQUERQUE, NM
NPI1154463099
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: NM  OPT589)
Additional Taxonomies152W00000X Optometrist
(Licence: ID  ODP-100001)
152W00000X Optometrist
(Licence: OR  ATI2539)
152W00000X Optometrist
(Licence: WA  OD00001864)
152W00000X Optometrist
(Licence: MT  OPT-OPT-LIC-2803)
Enumeration Date2007-02-13
Last Update Date2020-11-12
Business Address
DR. BROOKS RANDALL ALLDREDGE O.D.
8220 SAN PEDRO DR NE SUITE 220
ALBUQUERQUE, NM 87113-2476
Phone number: 505-797-4466
Mailing Address
DR. BROOKS RANDALL ALLDREDGE O.D.
PO BOX 1506
CHEHALIS, WA 98532-0409
Phone number: 360-242-3008