| NPI | 1487935060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHER SUE BARNES President 406-755-2818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MT 173) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MT 173) |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2016-04-26 |