Individual
WADE A EVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 W KENT AVE, MISSOULA, MT 59801-6772
(406) 541-3918
Mailing address
700 W KENT AVE, MISSOULA, MT 59801-6772
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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