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Individual

DR. JOHN ALBERT BROEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
7030 DOUGLAS AVE, URBANDALE, IA 50322-3224
(515) 278-0123
(515) 278-6310
Mailing address
7030 DOUGLAS AVE, URBANDALE, IA 50322-3224
(515) 278-0123
(515) 278-6310

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
077693
IA

Other

Enumeration date
06/16/2015
Last updated
06/16/2015
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