| NPI | 1275022543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY JOSEPH QUEBEDEAUX Owner 406-442-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MT MED-POD-LIC-111) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-05-02 |