Organization
MIDTOWN OPTOMETRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALGORZATA PODRAZA OD (OPTOMETRIST)
(406) 883-2173
Entity
Organization
Contact information
Practice address
36318 MEMORY LN, POLSON, MT 59860-7265
(406) 883-2173
Mailing address
36318 MEMORY LN, POLSON, MT 59860-7265
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1527
MT
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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