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Organization

JESSICA L PEEL OD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JESSICA LYNN PEEL OD (SOLE MEMBER/MANAGER)
(406) 794-7656
Entity
Organization

Contact information

Practice address
2646 GRAND AVE STE 7, BILLINGS, MT 59102-7113
(406) 256-5952
(406) 256-3837
Mailing address
3115 SILVERWOOD ST, BILLINGS, MT 59102-0655
(406) 256-7880
(406) 545-4764

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
787
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1417060104
MT
Enumeration date
03/19/2009
Last updated
03/19/2009
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