E Dale Brock Od PC

NPI #1275716839 in West Frankfort, Illinois

Provider Information

NPI Number
1275716839
Entity Type
Organization
Organization Name
E Dale Brock Od PC
Primary Specialty
Optometrist
Enumeration Date
Dec 6, 2007
Last Updated
Sep 2, 2009

Practice Location

Address
202 E CLARK ST
ZIP Code
62896-2706
Phone
(618) 937-3126

Authorized Official

Name
DR. ERNEST DALE BROCK, OD PC
Title
PRESIDENT
Phone
(618) 937-3126

Specialties & Taxonomy Codes

Specialty
Optometrist

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