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Organization
SUMMIT PODIATRY PLLC
Active
Organization
SUMMIT PODIATRY PLLC
Active
Other names
Summit Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
JOSH MACKAY (PRACTICE MANAGER)
(406) 577-2153
Entity
Organization
Contact information
Practice address
108 N 11TH AVE STE 2, BOZEMAN, MT 59715-3264
(406) 577-2153
Mailing address
108 N 11TH AVE STE 2, BOZEMAN, MT 59715-3264
(406) 577-2153
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
08/06/2020
Last updated
04/14/2021
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