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GREAT FALLS CLINIC LLP

Eye and Vision Services Providers Technician/Technologist Optician

Provider NPI: 1801897780

Organization Information:
Organization Name:  GREAT FALLS CLINIC LLP
Organization is not Subpart
Authorized Official:  VICKI L NEWMILLER  CEO  406-216-8030

Practice Location:
1400 29TH ST S  GREAT FALLS, MT 59405-5353 US
Tel: 406-454-2171  Fax: 406-771-3021

Business Mailing Address:
1400 29TH ST S  GREAT FALLS, MT 59405-5353 US
Tel: 406-454-2171  Fax: 406-771-3021

NPI Information:
NPI: 1801897780
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N156FX1800XEye and Vision Services Providers
Technician/Technologist
Optician
MT1554
Y261QM1300XAmbulatory Health Care Facilities
Clinic/Center

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 261QM1300X

Type:

Classification:



Definition:



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