Individual
DR. THOMAS DREW HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2829 GREAT NORTHERN LOOP, SUITE 100, MISSOULA, MT 59808-1752
(406) 542-6382
(406) 542-4773
Mailing address
2829 GREAT NORTHERN LOOP, SUITE 100, MISSOULA, MT 59808-1752
(406) 542-6382
(406) 542-4773
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
671
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000027001
BCBS
MT
05
—
0481423
—
MT
Enumeration date
01/25/2007
Last updated
02/03/2010
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