Search › Montana › 152W00000X
Larry Bonderud, O.D
NPI 1164414322 · on the registry since 2005 · sole proprietor
Practice
- Address
- 865 Oilfield Ave
Shelby, MT 59474 - Phone
- (406) 434-5196
- Fax
- (406) 434-5197
- Organisation at this address
- Larry J. Bonderud, Od
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- MT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-05-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Montana