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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


PrimaryCodeCategory/DescriptionStateLicense Number
N156FX1800XEye and Vision Services Providers
Y261QM1300XAmbulatory Health Care Facilities

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 261QM1300X





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