Organization
KALISPELL OPTOMETRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALGORZATA PODRAZA (OWNER)
(406) 257-6803
Entity
Organization
Contact information
Practice address
170 HUTTON RANCH RD, KALISPELL, MT 59901-2107
(406) 257-6803
Mailing address
170 HUTTON RANCH RD, KALISPELL, MT 59901-2107
(406) 257-6803
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
09/11/2018
Last updated
09/11/2018
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