Individual
DR. ROCK EDWARD SVENNUNGSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
925 OILFIELD AVE, SHELBY, MT 59474-2703
(406) 434-2763
(406) 434-2904
Mailing address
925 OILFIELD AVE, SHELBY, MT 59474-2703
(406) 434-2763
(406) 434-2904
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
446
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0480324
—
MT
01
—
410035739
RAILROAD MEDICARE
—
Enumeration date
05/19/2006
Last updated
07/28/2009
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