Organization
ANKLE & FOOT CARE CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FLYNN SHERICK DPM (PRESIDENT)
(406) 721-1171
Entity
Organization
Contact information
Practice address
2831 FORT MISSOULA RD STE 302, MISSOULA, MT 59804-7401
(406) 721-1171
(406) 721-0622
Mailing address
2831 FORT MISSOULA RD STE 302, MISSOULA, MT 59804-7401
(406) 721-1171
(406) 721-0622
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
88
MT
332B00000X
Durable Medical Equipment & Medical Supplies
88
MT
332BC3200X
Customized Equipment (DME)
88
MT
335E00000X
Prosthetic/Orthotic Supplier
88
MT
Other
Enumeration date
03/08/2012
Last updated
05/06/2014
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