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Individual

DR. KRISTINA LEE BUSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
3555 MULLAN RD, MISSOULA, MT 59808-5125
(406) 829-8516
(406) 829-8527
Mailing address
9175 GROUSE DR, MISSOULA, MT 59808-1050
(406) 829-0971

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
707
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000027761
BLUE CROSS BLUE SHIELD
MT
05
0482358
MT
01
20253
SPECTERA
MT
01
27468
MES
MT
01
37880
AVESIS
MT
01
49057
DAVIS VISION
MT
01
927901
BLOCK VISION
MT
Enumeration date
09/02/2006
Last updated
04/15/2008
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