| NPI | 1609882810 |
|---|---|
| Doing Business As | THE EYE CLINIC SURGICENTER LAGRECA EYE CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRIAN A LAGRECA Medical Director President 406-252-6608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MT 10825) |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2011-12-29 |