| NPI | 1891817011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA NARANJO Practice Manager 406-587-8478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: MT 129) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2024-04-11 |