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Individual

DR. BRIAN D KOMM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
3215 OTTAWA ST, BUTTE, MT 59701-6539
(406) 723-7990
(406) 723-0080
Mailing address
3215 OTTAWA ST, BUTTE, MT 59701-6539
(406) 723-7990
(406) 723-0080

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
147
MT
213ES0131X
Foot Surgery Podiatrist
147
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000390558
MT
01
018841
BCBS
MT
01
1417132820
GROUP NPI
MT
Enumeration date
05/15/2006
Last updated
03/27/2014
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