Individual
DR. GARY H BROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 753-7624
Mailing address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
112315-9934
UT
152W00000X
Optometrist
Primary
1621
TN
Other
Enumeration date
08/07/2006
Last updated
09/10/2007
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