DR. Ernest Dale Brock, O.D.

NPI #1538161708 in West Frankfort, Illinois

Provider Information

NPI Number
1538161708
Entity Type
Individual
Name
DR. Ernest Dale Brock, O.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Jun 1, 2005
Last Updated
Feb 17, 2009

Practice Location

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

Specialties & Taxonomy Codes

Specialty
Optometrist

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