Daniel Brodkey Od Pc | |
5404 Morningside Ave, Sioux City, IA 51106-3136 | |
(712) 274-2020 | |
(712) 274-7095 |
Full Name | Daniel Brodkey Od Pc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 5404 Morningside Ave, Sioux City, Iowa |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982955571 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | IA1635 (Iowa) | Primary |
Provider Name | Daniel L Brodkey |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1811997802 PECOS PAC ID: 3779572664 Enrollment ID: I20040506001502 |
Mailing Address | Practice Location Address |
---|---|
Daniel Brodkey Od Pc 5404 Morningside Ave, Sioux City, IA 51106-3136 Ph: (712) 274-2020 | Daniel Brodkey Od Pc 5404 Morningside Ave, Sioux City, IA 51106-3136 Ph: (712) 274-2020 |
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