Summit Podiatry PLLC
Podiatrist, Foot & Ankle Surgery in Bozeman, MT. Organization (NPI-2).
NPI number1942810775
StatusActive
Last updated in NPPESApr 14, 2021
Details
- NPI
- 1942810775
- Entity type
- Organization (NPI-2)
- Legal business name
- Summit Podiatry PLLC
- Organization subpart
- No
- Enumeration date
- Aug 6, 2020
- Certification date
- Apr 14, 2021
- Last updated
- Apr 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Summit Podiatry (Doing Business As)
Practice location
108 N 11th Ave Ste 2Bozeman, MT 59715-3264
Phone 406-577-2153
Mailing address
108 N 11th Ave Ste 2Bozeman, MT 59715-3264
Phone 406-577-2153
Authorized official
Josh Mackay
Practice Manager
4065772153
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All 5 Foot & Ankle Surgery Podiatrist providers in Bozeman · All 3,190 providers in Bozeman
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