Organization
DR. GARY A. WHITE, OPTOMETRIST, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY A WHITE OD (PRESIDENT)
(406) 628-1767
Entity
Organization
Contact information
Practice address
101 BERNHARDT RD, LAUREL, MT 59044-8702
(406) 628-1767
(406) 628-1739
Mailing address
101 BERNHARDT RD, LAUREL, MT 59044-8702
(406) 628-1767
(406) 628-1739
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
595
MT
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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