Individual
DR. RONALD LEE BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
210 1ST AVE, LAUREL, MT 59044-3014
(406) 628-8668
(406) 628-8668
Mailing address
PO BOX 190, 210 1ST AVE, LAUREL, MT 59044-0190
(406) 628-8668
(406) 628-8668
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
523
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
482066
—
MT
Enumeration date
01/12/2007
Last updated
07/09/2007
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