| NPI | 1770948929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN WEBB Podiatrist 406-755-5250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2026-01-14 |