Organization
DR PAUL BRINCKMAN OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL BRINCKMAN OD (OWNER)
(913) 707-5126
Entity
Organization
Contact information
Practice address
16124 W 135TH ST, OLATHE, KS 66062-1517
(913) 764-3937
Mailing address
11063 S MEMORIAL DR STE D, TULSA, OK 74133-7366
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/12/2017
Last updated
10/04/2018
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