| NPI | 1033240775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG J MCLAWS Director 406-252-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MT 165) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MT 165) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2012-02-10 |