Individual
MONTANO YSIDRO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
606 N MAIN ST, EL DORADO, KS 67042-2026
(316) 320-9680
(316) 320-9680
Mailing address
606 N MAIN ST, EL DORADO, KS 67042-2026
(316) 320-9680
(316) 320-9680
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
NA
KS
Other
Enumeration date
05/18/2006
Last updated
07/08/2007
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