Leidenix PC

NPI #1063602050 in Bismarck, North Dakota

Provider Information

NPI Number: 1063602050
Entity Type: Organization
Organization Name: Leidenix PC
Primary Specialty: Optometrist
Enumeration Date: Jul 26, 2007
Last Updated: Oct 3, 2018

Practice Location

Address: 1400 SKYLINE BLVD
City: Bismarck
State: North Dakota
ZIP Code: 58503-1613
Phone: (701) 255-4117

Authorized Official

Name: MELISSA MATTSON
Title: MANAGER
Phone: (701) 663-0012

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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