Individual
DR. JOREN DAVID BONDERUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
865 OILFIELD AVE, SHELBY, MT 59474-2702
(406) 434-5196
(406) 434-5197
Mailing address
865 OILFIELD AVE, SHELBY, MT 59474-2702
(406) 434-5196
(406) 434-5197
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3153
MT
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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