NPI | 1306971973 |
---|---|
Former Legal Business Name | CURTIS A. BROEK OD PC |
Entity Type | Organization |
Authorized Contact | CURTIS BROEK President 515-278-0123 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2007-02-22 |
Last Update Date | 2015-05-26 |