| NPI | 1760665186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN B THOMAS Owner 406-542-2108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MT 146) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2008-12-04 |