Organization
MEDRO JOSEPH BRODEUR III, O.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEDRO JOSEPH BRODEUR III O.D (OWNER)
(573) 764-2177
Entity
Organization
Contact information
Practice address
356 S MAIN ST, GERALD, MO 63037-2270
(573) 764-2177
Mailing address
356 S MAIN ST, BOX 81, GERALD, MO 63037-2270
(573) 764-2177
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO2435
MO
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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