| NPI | 1548440019 |
|---|---|
| Other Name | THE EYE CLINIC SURGICENTER |
| Entity Type | Organization |
| Authorized Contact | LOLA J. PROCTOR Billing Supervisor 406-294-6586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2011-12-29 |