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Jon C Kolstad Od, PC

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

NPI number1700136199
StatusActive
Last updated in NPPESApr 15, 2014

Details

NPI
1700136199
Entity type
Organization (NPI-2)
Legal business name
Jon C Kolstad Od, PC
Organization subpart
No
Enumeration date
Sep 13, 2012
Last updated
Apr 15, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist616MTMTYes

Practice location

630 3rd Ave S
Glasgow, MT 59230-2407

Phone 406-228-8641 · Fax 406-228-2094

Mailing address

630 3rd Ave S
Glasgow, MT 59230-2407

Phone 406-228-8641 · Fax 406-228-2094

Authorized official

Jon C Kolstad
Optometrist/Owner
4062288641

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