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Individual

DR. BRENT S HARBERTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1500 N 7TH AVE, BOZEMAN, MT 59715-2557
(406) 585-8153
(406) 586-3734
Mailing address
1500 N 7TH AVE, BOZEMAN, MT 59715-2557
(406) 585-8153
(406) 586-3734

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
18003528A
IN
152W00000X
Optometrist
Primary
1942
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200907450
IN
Enumeration date
07/18/2008
Last updated
11/13/2019
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