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 |