Individual
MR. PETER BABCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
700 W KENT AVE, MISSOULA, MT 59801-6772
(406) 541-3937
(406) 541-3811
Mailing address
4150 BAIN AVE, SANTA CRUZ, CA 95062-4547
(831) 462-4624
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11576
AK
Other
Enumeration date
10/02/2006
Last updated
04/22/2021
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