Individual
BROCK HELFRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
STUDENT
Contact information
Practice address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1999
(479) 443-4301
Mailing address
314 YORK ST, TAHLEQUAH, OK 74464-2239
(620) 682-5726
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3075
OK
Other
Enumeration date
05/01/2020
Last updated
07/28/2020
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