S & J Brotherson Enterprises LLC

NPI #1891047114 in Mesquite, Nevada

Provider Information

NPI Number: 1891047114
Entity Type: Organization
Organization Name: S & J Brotherson Enterprises LLC
Primary Specialty: Optometrist
Enumeration Date: Oct 10, 2012
Last Updated: Nov 14, 2012

Practice Location

Address: 61 N WILLOW ST
Address 2: SUITE 2
City: Mesquite
State: Nevada
ZIP Code: 89027-4785
Phone: (702) 346-3031

Authorized Official

Name: DR. SCOTT KIRK BROTHERSON, O.D.
Title: MANAGER
Phone: (702) 346-3031

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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