DR. Luke Dewey Brog, O.D.

NPI #1831262641 in Thayne, Wyoming

Provider Information

NPI Number
1831262641
Entity Type
Individual
Name
DR. Luke Dewey Brog, O.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Nov 17, 2006
Last Updated
Jul 9, 2007

Practice Location

Address
122 PETERSEN PARKWAY
Address 2
SUITE 1
City
Thayne
State
Wyoming
ZIP Code
83127
Phone
(307) 883-4678

Specialties & Taxonomy Codes

Specialty
Optometrist

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