Larry Bonderud & Mark Stanchfield Optometrists

NPI 1295850535 - Optometrist - 152W00000X

NPI Details
NPI 1295850535
Enumeration Date 03/19/2007
Last Updated 07/27/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LARRY JAMES LARRY
Position OWNER
Phone (406) 271-5517
Fax (406) 271-5518
Practice Location
19 4TH AVE SW
CONRAD MT, 59425-2339, US
Phone (406) 271-5517
Fax (406) 271-5518
Business Location
PO BOX 815
CONRAD MT, 59425-0815, US
Phone (406) 271-5517
Fax (406) 271-5518
Toxanomy
Taxonomy Code 152W00000X
License State Montana
License Number 393
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According to our database, Larry Bonderud & Mark Stanchfield Optometrists NPI is 1295850535, taxonomy code is 152W00000X and license number is 393, license state is located at Montana. Larry Bonderud & Mark Stanchfield Optometrists physically located at 19 4th Ave Sw, Conrad MT, 59425-2339. NPI Number 1033115704 has the healthcare provider type.

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1295850535 NPI number is provided on an as is basis without warranty of any kind. 1295850535 is maintained by the National Plan & Provider Enumeration System. The contents of Larry Bonderud & Mark Stanchfield Optometrists are for informational purposes only.