Organization
BROTHERS TAYLOR & BEZOLD INC
Active
Other names
Brothers Bezold & Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL J BROTHERS OD (OWNER)
(417) 624-5005
Entity
Organization
Contact information
Practice address
2013 S JOPLIN AVE, JOPLIN, MO 64804-2033
(417) 624-5005
(417) 624-5215
Mailing address
2013 S JOPLIN AVE, JOPLIN, MO 64804-2033
(417) 624-5005
(417) 624-5215
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02388
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507591907
—
MO
Enumeration date
01/18/2007
Last updated
03/30/2011
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