# SUMMIT PODIATRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Summit Podiatry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942810775
- **Authorized official:** JOSH MACKAY (PRACTICE MANAGER)
- **Authorized official phone:** (406) 577-2153

## Contact information

- **Practice address:** 108 N 11TH AVE STE 2, BOZEMAN, MT 59715-3264
- **Practice address phone:** (406) 577-2153
- **Mailing address:** 108 N 11TH AVE STE 2, BOZEMAN, MT 59715-3264
- **Mailing address phone:** (406) 577-2153

## Taxonomy

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

## Other

- **Enumeration date:** 08/06/2020
- **Last updated:** 04/14/2021