Individual
DR. ERNEST DALE BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
202 E CLARK ST, WEST FRANKFORT, IL 62896-2706
(618) 937-3126
(618) 937-3344
Mailing address
202 E CLARK ST, WEST FRANKFORT, IL 62896-2706
(618) 937-3126
(618) 937-3344
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-006814
IL
Other
Enumeration date
06/01/2005
Last updated
02/17/2009
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