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Organization

THREE RIVERS EYE CARE CENTER, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GEORGE A STERN M.D. (PRESIDENT)
(406) 543-9200
Entity
Organization

Contact information

Practice address
1200 SOUTH RESERVE STREET, SUITE H, MISSOULA, MT 59801-3701
(406) 543-9200
(406) 543-9222
Mailing address
1200 SOUTH RESERVE STREET, SUITE H, MISSOULA, MT 59801-3701
(406) 543-9200
(406) 543-9222

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
8180
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0005120600
AETNA
MT
05
0035581
MT
05
0169507
MT
01
95001
BCBS
MT
Enumeration date
08/03/2006
Last updated
10/14/2009
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