| NPI | 1417132820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN D KOMM President 406-723-7990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: MT 147) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-02-04 |