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Organization

PATRICK-PURDY INC

Active
Other names
Dr. Terry C. Patrick, O.D.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TERRY C PATRICK O.D. (PRESIDENT)
(406) 293-6236
Entity
Organization

Contact information

Practice address
610 CALIFORNIA AVE, LIBBY, MT 59923-1902
(406) 293-6236
(406) 293-6237
Mailing address
610 CALIFORNIA AVE, LIBBY, MT 59923-1902
(406) 293-6236
(406) 293-6237

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
689
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
481525
MT
Enumeration date
03/05/2007
Last updated
04/04/2012
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