| NPI | 1497058572 |
|---|---|
| Doing Business As | MISSOULA FOOT AND ANKLE GROUP |
| Entity Type | Organization |
| Authorized Contact | KARL JOSEPH MANGOLD Owner/Manager 406-552-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: MT 174) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2011-05-23 |