Brian K Church DPM

NPI 1245520899 - Podiatrist - 213ES0103X

NPI Details
NPI 1245520899
Gender Male
Enumeration Date 04/17/2011
Last Updated 06/25/2014
Entity Type Individual
Active Over 5 years ago
Practice Location
310 WENDELL AVE STE 5
LEWISTOWN MT, 59457-2267, US
Phone (406) 535-6318
Fax
Business Location
310 WENDELL AVE STE 5
LEWISTOWN MT, 59457-2267, US
Phone (406) 535-6318
Fax
Toxanomy
Taxonomy Code 213ES0103X
License State Montana
License Number 177
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According to our database, Brian K Church DPM NPI is 1245520899, taxonomy code is 213ES0103X and license number is 177, license state is located at Montana. Brian K Church DPM physically located at 310 Wendell Ave Ste 5, Lewistown MT, 59457-2267. NPI Number Brian K Church DPM has the Individual type.

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1245520899 NPI number is provided on an as is basis without warranty of any kind. 1245520899 is maintained by the National Plan & Provider Enumeration System. The contents of Brian K Church DPM are for informational purposes only.