# NATHAN B THOMAS DPM

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

## Provider details

- **NPI number:** 1760665186
- **Authorized official:** NATHAN B THOMAS DPM (OWNER)
- **Authorized official phone:** (406) 542-2108

## Contact information

- **Practice address:** 110 SOUTH AVE W, MISSOULA, MT 59801-8116
- **Practice address phone:** (406) 542-2108
- **Practice address fax:** (406) 542-2195
- **Mailing address:** 110 SOUTH AVE W, MISSOULA, MT 59801-8116
- **Mailing address phone:** (406) 542-2108
- **Mailing address fax:** (406) 542-2195

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 146 | MT | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 12/07/2007
- **Last updated:** 12/04/2008