DR. Larry James Bonderud, O.D.

NPI #1164414322 in Shelby, Montana

Provider Information

NPI Number
1164414322
Entity Type
Individual
Name
DR. Larry James Bonderud, O.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Aug 15, 2005
Last Updated
May 26, 2010

Practice Location

Address
865 OILFIELD AVE
City
Shelby
State
Montana
ZIP Code
59474-2702
Phone
(406) 434-5196

Specialties & Taxonomy Codes

Specialty
Optometrist

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Organizations

Provider Name
Larry J. Bonderud, Od

Part of Larry J Bonderud Od, DBA Northern Montana Eyecare

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