Organization
NATHAN B THOMAS DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN B THOMAS DPM (OWNER)
(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
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
146
MT
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0390320
—
MT
Enumeration date
12/07/2007
Last updated
12/04/2008
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