NPI | 1518327261 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT CLASE President 406-730-3669 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MT 25643) |
Enumeration Date | 2016-02-23 |
Last Update Date | 2016-06-02 |