Provider Demographics
NPI:1831177328
Name:ZUROFF, K R
Entity type:Individual
Prefix:DR
First Name:K
Middle Name:R
Last Name:ZUROFF
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 N MEADE AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDIVE
Mailing Address - State:MT
Mailing Address - Zip Code:59330-1719
Mailing Address - Country:US
Mailing Address - Phone:406-377-6021
Mailing Address - Fax:406-377-3615
Practice Address - Street 1:213 N MEADE AVE
Practice Address - Street 2:
Practice Address - City:GLENDIVE
Practice Address - State:MT
Practice Address - Zip Code:59330-1719
Practice Address - Country:US
Practice Address - Phone:406-377-6021
Practice Address - Fax:406-377-3615
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-04
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT350152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist