Individual
DIANE M GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
534 N LAST CHANCE GULCH ST, HELENA, MT 59601-3303
(406) 442-6814
Mailing address
PO BOX 844, HELENA, MT 59624-0844
(406) 442-6814
(406) 443-7732
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
432
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0480441
—
MT
Enumeration date
12/14/2006
Last updated
01/16/2008
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