| NPI | 1740291350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM BROE Billing Director 406-541-3806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2024-02-12 |