Individual
KURT E. BLADES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
346 CENTRAL AVE STE B, WHITEFISH, MT 59937-2664
(406) 862-2020
(406) 862-2385
Mailing address
PO BOX 1368, WHITEFISH, MT 59937-1368
(406) 862-2020
(406) 862-2385
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
517
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04-83378
—
MT
Enumeration date
07/03/2006
Last updated
07/09/2007
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