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Individual

DR. DAVID G VAINIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
100 W PARK AVE, ANACONDA, MT 59711-2259
(406) 563-6471
(406) 563-7252
Mailing address
100 W PARK AVE, ANACONDA, MT 59711-2259
(406) 563-6471
(406) 563-7252

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
0426
MT
152W00000X
Optometrist
Primary
426OPT
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000482137
MT
01
1053342006
GROUP NPI
MT
01
D08606062
SUBMITTER ID
MT
01
P00005738
RAILROAD MEDICARE
MT
Enumeration date
09/02/2005
Last updated
09/14/2010
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