Individual
DR. JONATHAN ROBERT BUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
726 KENSINGTON AVE, MISSOULA, MT 59801-5720
(406) 549-9413
(406) 543-4410
Mailing address
726 KENSINGTON AVE, MISSOULA, MT 59801-5720
(406) 549-9413
(406) 543-4410
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1607
AZ
152W00000X
Optometrist
Primary
4917
MT
152W00000X
Optometrist
S-B55-TA-765
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
331797
—
AZ
Enumeration date
05/22/2007
Last updated
12/26/2023
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