Individual
DR. KARL JOSEPH MANGOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2825 STOCKYARD RD, SUITE J-1, MISSOULA, MT 59808-1503
(406) 543-5333
(406) 543-5621
Mailing address
2825 STOCKYARD RD, SUITE J-1, MISSOULA, MT 59808-1503
(406) 543-5333
(406) 543-5621
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
174
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000298622
—
MT
Enumeration date
08/26/2008
Last updated
01/04/2017
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