| NPI | 1093348641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG J MCLAWS CEO 406-252-5444 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP1100X Clinic/Center Podiatric |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-03-31 |