NPI | 1427109503 |
---|---|
Doing Business As | GLACIER FOOT AND ANKLE ASSOCIATES |
Entity Type | Organization |
Authorized Contact | KIM ERIK PLOOT Owner 406-755-1300 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MT 155) |
213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MT 166) | |
Enumeration Date | 2007-01-15 |
Last Update Date | 2025-02-21 |