Individual
DR. MARK STANCHFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
226 9TH AVE SE, CUT BANK, MT 59427-3332
(406) 873-5623
(406) 873-5624
Mailing address
226 9TH AVE SE, CUT BANK, MT 59427-3332
(406) 873-5623
(406) 873-5624
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
516
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0249250001
MEDICARE NSC
MT
05
—
048-1377
—
MT
01
—
1235118258
NPI
MT
Enumeration date
01/10/2006
Last updated
04/30/2009
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