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Individual

DR. LARRY D ERPENBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2475 VILLAGE LN, SUITE 202, BILLINGS, MT 59102-2497
(406) 252-6608
(406) 252-6600
Mailing address
2475 VILLAGE LN, SUITE 202, BILLINGS, MT 59102-2497
(406) 252-6608
(406) 252-6600

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1460261
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0482528
MT
01
1460261
MT STATE ID
MT
01
15008808
WORKERS COMP
01
27741
BCBS PROVIDER NUMBER
MT
01
3321
BLUE CHIP
MT
01
499
MT MEDICAL LICENSE
MT
01
CJ9407
RAILROAD MEDICARE
MT
Enumeration date
02/22/2007
Last updated
03/07/2023
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