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Luke Brog, O.D
NPI 1831262641 · on the registry since 2006
Practice
- Address
- 122 Petersen Parkway
Suite 1
Thayne, WY 83127 - Phone
- (307) 883-4678
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- WY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming