Organization
PROS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DESTINY DAWN ZIELIE (OWNER)
(406) 656-9857
Entity
Organization
Contact information
Practice address
1331 24TH ST W, BILLINGS, MT 59102-3860
(406) 656-9857
(406) 656-4063
Mailing address
1331 24TH ST W, BILLINGS, MT 59102-3860
(406) 656-9857
(406) 656-4063
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
0600022915
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0551157
—
MT
01
—
29741
BCBS OF MT IDENTIFICATION
MT
Enumeration date
12/14/2006
Last updated
08/05/2014
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