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Midtown Optometry PLLC

Optometrist in Polson, MT. Organization (NPI-2).

NPI number1194199950
StatusActive
Last updated in NPPESNov 17, 2015

Details

NPI
1194199950
Entity type
Organization (NPI-2)
Legal business name
Midtown Optometry PLLC
Organization subpart
No
Enumeration date
Nov 17, 2015
Last updated
Nov 17, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist1527MTYes

Practice location

36318 Memory Ln
Polson, MT 59860-7265

Phone 406-883-2173

Mailing address

36318 Memory Ln
Polson, MT 59860-7265

Authorized official

Malgorzata Podraza
Optometrist
4068832173

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