Individual
DR. HEIDI GAIL BROTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4000 US HIGHWAY 93 S, MISSOULA, MT 59804-7347
(406) 251-3679
(406) 251-3715
Mailing address
4000 US HIGHWAY 93 S, MISSOULA, MT 59804-7347
(405) 251-3679
(406) 251-3715
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
577
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0484120
—
MT
Enumeration date
06/26/2008
Last updated
06/26/2008
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