Organization
DALE R. THOMAN, O.D. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE THOMAN O.D. (OWNER)
(406) 750-5436
Entity
Organization
Contact information
Practice address
2901 BROOKS ST, (INSIDE LENSCRAFTERS), MISSOULA, MT 59801-7722
(406) 549-9779
(406) 549-0635
Mailing address
2901 BROOKS ST, (INSIDE LENSCRAFTERS), MISSOULA, MT 59801-7722
(406) 549-9779
(406) 549-0635
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MT775
MT
Other
Enumeration date
10/14/2009
Last updated
10/14/2009
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