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Organization

BRETT OXANDALE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRETT MICHAEL OXANDALE OD (SOLE MEMBER)
(785) 234-1600
Entity
Organization

Contact information

Practice address
2600 NW ROCHESTER RD, SUITE 1, TOPEKA, KS 66617-1270
(785) 234-1600
(785) 234-1601
Mailing address
2600 NW ROCHESTER RD, SUITE 1, TOPEKA, KS 66617-1270
(785) 234-1600
(785) 234-1601

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1787
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200441550A
KS
Enumeration date
11/17/2009
Last updated
11/17/2009
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