| 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 |