Organization
ADVANCED FOOT & ANKLE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN B THOMAS DPM (OWNER/PHYSICIAN)
(406) 542-2108
Entity
Organization
Contact information
Practice address
110 SOUTH AVE W, MISSOULA, MT 59801-8116
(406) 542-2108
(406) 542-2195
Mailing address
110 SOUTH AVE W, MISSOULA, MT 59801-8116
(406) 542-2108
(406) 542-2195
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
146
MT
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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