Organization
MOUNTAIN MOBILE WOUND CARE
Active
Other names
Beighle and assoc PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN KEVIN BEIGHLE FNP, DPM (PRES.)
(406) 240-4593
Entity
Organization
Contact information
Practice address
1801 SELWAY DR, MISSOULA, MT 59808-9314
(406) 240-4593
Mailing address
1801 SELWAY DR, MISSOULA, MT 59808-9314
(406) 240-4593
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
261Q00000X
Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0390422
—
MT
Enumeration date
03/14/2007
Last updated
09/02/2025
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