Organization
PAUL BRINCKMAN, OD, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL BRINCKMAN OD (OWNER)
(913) 707-5126
Entity
Organization
Contact information
Practice address
301 E COOPER AVE, WARRENSBURG, MO 64093-1260
(660) 747-7117
Mailing address
PO BOX 3047, OLATHE, KS 66063-1047
(913) 707-5126
(888) 538-6503
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T03428
MISSOURI LISCENSE
MO
Enumeration date
10/04/2018
Last updated
10/04/2018
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