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Daniel Brodkey Od PC

Optometrist in Sioux City, IA. Organization (NPI-2).

NPI number1982955571
StatusActive
Last updated in NPPESFeb 19, 2014

Details

NPI
1982955571
Entity type
Organization (NPI-2)
Legal business name
Daniel Brodkey Od PC
Organization subpart
No
Enumeration date
Sep 24, 2012
Last updated
Feb 19, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristIA1635IAYes

Practice location

5404 Morningside Ave
Sioux City, IA 51106-3136

Phone 712-274-2020 · Fax 712-274-7095

Mailing address

5404 Morningside Ave
Sioux City, IA 51106-3136

Phone 712-274-2020 · Fax 712-274-7095

Authorized official

Daniel Louis Brodkey
Optometrist
7122742020

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