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Organization

CHAD KREZELOK O.D. PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MACI CLARK (OFFICE MANAGER)
(406) 585-8153
Entity
Organization

Contact information

Practice address
1500 N 7TH AVE, BOZEMAN, MT 59715-2557
(406) 585-8153
Mailing address
1500 N 7TH AVE, BOZEMAN, MT 59715-2557
(406) 585-8153

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0782
MT

Other

Enumeration date
10/19/2016
Last updated
10/19/2016
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