DALTON LAWRENCE BROTHERS

BROTHERS TAYLOR AND BEZOLD INC

Dr DALTON LAWRENCE BROTHERS is a male medical professional, specializing in Optometry. He graduated in 2019 from University Of Missouri St Louis - School Of Optometry.

Contact

BROTHERS TAYLOR AND BEZOLD INC

2013 S JOPLIN ST
JOPLIN
MO
648042033

Tel: 4176245005

DALTON LAWRENCE BROTHERS Information

Npi 1679131841
Pac Id 0143554360
Professional Enrollment Id I20190621002164
Last Name BROTHERS
First Name DALTON
Middle Name LAWRENCE
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduation Year 2019
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BROTHERS TAYLOR AND BEZOLD INC
Group Practice Pac Id 3173576253
Number Of Group Practice Members 6
Line 1 Street Address 2013 S JOPLIN ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City JOPLIN
State MO
Zip Code 648042033
Phone Number 4176245005
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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