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Organization
WESTERN MONTANA FOOT AND ANKLE PLLC
Active
Organization
WESTERN MONTANA FOOT AND ANKLE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARL J MANGOLD DPM (OWNER/MANAGER)
(406) 543-5333
Entity
Organization
Contact information
Practice address
2825 STOCKYARD RD STE J1, MISSOULA, MT 59808-1548
(406) 543-5333
(406) 543-5621
Mailing address
2825 STOCKYARD RD STE J1, MISSOULA, MT 59808-1548
(406) 543-5333
(406) 543-5621
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
174
MT
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
11/22/2017
Last updated
11/28/2018
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