person
G Gregg Neibauer, DPM
Foot Surgery Podiatrist in Missoula, Montana
NPI 1154500544

G Gregg Neibauer is a Foot Surgery Podiatrist based in Missoula, MT and is specialized in Foot Surgery. G Gregg Neibauer practices in Missoula, MT and has the professional credentials of DPM. The NPI Number for G Gregg Neibauer is 1154500544 and holds a License No. 160 (Montana).

The current practice location address for G Gregg Neibauer is 1845 Bancroft St, Missoula, MT and can be reached out via phone at 406-721-4007 and via fax at 406-549-9807.

Location: 1845 Bancroft St, Missoula, MT, 59801-5747
person
Provider Profile Details
NPI Number
1154500544
Provider Name
G Gregg Neibauer
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1845 Bancroft St, Missoula, MT, 59801-5747
Phone Number
406-721-4007
Fax Number
406-549-9807
Provider Enumeration Date
11/01/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00097318 01 MT RAILROAD MEDICARE
97315 01 MT BLUE CROSS BLUE SHIELD
000084041 01 MT MEDICARE GROUP PIN
0390779 05 MT
institution
Provider Business Practice Location Address Details
Address
1845 Bancroft St
City
State
Zip
59801-5747
Phone Number
406-721-4007
Fax Number
406-549-9807
person
Provider Business Mailing Address Details
Address
1845 Bancroft St
City
State
Zip
59801-5747
Phone Number
406-721-4007
Fax Number
406-549-9807
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
160 (Montana)
Definition
Definition to come...
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