Organization
PONDERA MEDICAL CENTER EYE CLINIC PLLC
Active
Parent organization
PONDERA MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
PONDERA MEDICAL CENTER
Authorized official
MARK JONES (CEO)
(406) 271-3211
Entity
Organization
Contact information
Practice address
403 S DELAWARE ST, CONRAD, MT 59425-2310
(406) 278-5331
Mailing address
403 S DELAWARE ST, CONRAD, MT 59425-2310
(406) 278-5331
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/22/2010
Last updated
09/20/2011
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