Individual
JOHN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
815 W COLLEGE ST STE B, BOZEMAN, MT 59715-5029
(406) 587-8333
(406) 587-8369
Mailing address
815 W COLLEGE ST STE B, BOZEMAN, MT 59715-5029
(406) 587-8333
(406) 587-8369
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
ODP-100378
ID
152W00000X
Optometrist
Primary
OPT-OPT-LIC-2799
MT
Other
Enumeration date
09/12/2016
Last updated
02/23/2017
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