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Organization

BRUCE D FISHER DPM PC

Active
Other names
Advanced Foot and Ankle Center of MT
Organization subpart
No

Provider details

NPI number
Authorized official
BRUCE D FISHER DPM (PRESIDENT)
(406) 727-7771
Entity
Organization

Contact information

Practice address
1016 9TH ST S, GREAT FALLS, MT 59405-4401
(406) 727-7771
(406) 771-6575
Mailing address
1016 9TH ST S, GREAT FALLS, MT 59405-4401
(406) 727-7771
(406) 771-6575

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
145
MT
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000095326
BCBS OF MT
MT
05
0390898
MT
Enumeration date
12/13/2006
Last updated
06/21/2018
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