L. Brock Wren Od Pllc

NPI #1114220936 in Boise, Idaho

Provider Information

NPI Number: 1114220936
Entity Type: Organization
Organization Name: L. Brock Wren Od Pllc
Primary Specialty: Optometrist
Enumeration Date: Dec 16, 2010
Last Updated: Dec 16, 2010

Practice Location

Address: 350 N MILWAUKEE ST
Address 2: STE 1188
City: Boise
State: Idaho
ZIP Code: 83704-9123
Phone: (208) 376-0893

Authorized Official

Name: LEE BROCK WREN, OD
Title: OWNER
Phone: (208) 376-0893

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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