Individual
NEIL KAWAGUCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3075 N RESERVE ST, MISSOULA, MT 59808-1389
(406) 721-4646
Mailing address
11065 CHEROKEE LN, LOLO, MT 59847-9683
(509) 308-1311
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-OPT-LIC-4849
MT
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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