Individual
TARA WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3417 BUSCH ST, BUTTE, MT 59701
(406) 494-3145
(406) 541-3811
Mailing address
PO BOX 4907, 700 WEST KENT, MISSOULA, MT 59801-6719
(406) 541-3937
(406) 541-3811
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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