# WESTERN MONTANA FOOT AND ANKLE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417461732
- **Authorized official:** DR. KARL J MANGOLD DPM (OWNER/MANAGER)
- **Authorized official phone:** (406) 543-5333

## Contact information

- **Practice address:** 2825 STOCKYARD RD STE J1, MISSOULA, MT 59808-1548
- **Practice address phone:** (406) 543-5333
- **Practice address fax:** (406) 543-5621
- **Mailing address:** 2825 STOCKYARD RD STE J1, MISSOULA, MT 59808-1548
- **Mailing address phone:** (406) 543-5333
- **Mailing address fax:** (406) 543-5621

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 174 | MT | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 11/22/2017
- **Last updated:** 11/28/2018