Whalio Doctors

NPI 1144609421

Mary Shull, OPTICIAN

Practitioner Optician Missoula, MT

Practice location

Address
111 N Higgins Ave Suite 107, Missoula, MT 59802-4437
Phone
(406) 327-9988
Fax
(406) 541-9981
Mailing address
111 N Higgins Ave Suite 107, Missoula, MT 59802

Registered specialties

Optician Primary
Eye and Vision Services Providers Taxonomy 156FX1800X Licence BL01-556 (MT)

Registry record

NPI
1144609421
Entity type
Individual
Sex (as registered)
Female
NPI issued
20 May 2015
Record last updated
20 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.