Organization
FAMILY FOOT CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLEVELAND C SMITH DPM (DIRECTOR)
(406) 449-7323
Entity
Organization
Contact information
Practice address
1800 11TH AVE, HELENA, MT 59601-4768
(406) 449-7323
(406) 449-0015
Mailing address
1800 11TH AVE, HELENA, MT 59601-4768
(406) 449-7323
(406) 449-0015
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
78
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477732386
—
MT
01
—
P00445806
RAILROAD MEDICARE
MT
Enumeration date
10/26/2007
Last updated
03/25/2008
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