| NPI | 1194850933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN HOCKIN Owner 406-252-8469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MT 135) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MT 135) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2009-11-12 |