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Individual

ELLIOT MARK BRONWEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD.

Contact information

Practice address
17909 SOLEDAD CANYON RD, CANYON COUNTRY, CA 91387-3210
(661) 250-5220
(661) 250-5243
Mailing address
PO BOX 9602, MISSION HILLS, CA 91346-9602
(818) 837-5691
(818) 792-4793

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT8201TPA
CA

Other

Enumeration date
10/21/2005
Last updated
04/03/2014
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