Organization
DR BROTT & ASSOCIATES OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEIDI G BROTT OD (OWNER OPTOMETRIST)
(406) 251-3679
Entity
Organization
Contact information
Practice address
4000 US HIGHWAY 93 S, MISSOULA, MT 59804-7347
(406) 251-3679
(406) 251-3715
Mailing address
4000 US HIGHWAY 93 S, MISSOULA, MT 59804-7347
(406) 251-3679
(406) 251-3715
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
577
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0484120
—
MT
Enumeration date
03/17/2006
Last updated
06/24/2008
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