Individual
DR. JOHN BRENT ALTFILLISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
224 E MAIN STREET, OTTUMWA, IA 52501-2916
(641) 684-5463
(641) 684-5475
Mailing address
PO BOX 994, 224 E MAIN STREET, OTTUMWA, IA 52501-2916
(641) 684-5463
(641) 684-5475
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1537
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0098848
—
IA
Enumeration date
09/22/2006
Last updated
07/08/2007
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