Organization
ASPEN EYE CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN STELTER (PRESIDENT)
(406) 727-9330
Entity
Organization
Contact information
Practice address
1123 CENTRAL AVE, GREAT FALLS, MT 59401-3737
(406) 727-9330
(406) 727-5446
Mailing address
1123 CENTRAL AVE, GREAT FALLS, MT 59401-3737
(406) 727-9330
(406) 727-5446
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0550970
—
MT
Enumeration date
01/31/2007
Last updated
08/22/2020
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