Larry J. Bonderud, Od

NPI #1497246722 in Shelby, Montana

Provider Information

NPI Number
1497246722
Entity Type
Organization
Organization Name
Larry J. Bonderud, Od
Subpart
Yes (part of a larger organization)
Parent Organization
LARRY J BONDERUD OD, DBA NORTHERN MONTANA EYECARE
Primary Specialty
Optometrist
Enumeration Date
May 22, 2018
Last Updated
Jun 16, 2018

Practice Location

Address
865 OILFIELD AVE STE 1
City
Shelby
State
Montana
ZIP Code
59474-2702
Phone
(406) 434-5196

Authorized Official

Name
LEANN APPLEY
Title
OFFICE MANAGER
Phone
(406) 434-5196

Specialties & Taxonomy Codes

Specialty
Optometrist

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