| NPI | 1275668071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL OURADNIK Owner 406-651-0767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MT 162) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2009-07-22 |