institution
G Gregg Neibauer, Dpm, Inc
Foot Surgery Podiatrist in Missoula, Montana
NPI 1710928072

G Gregg Neibauer, Dpm, Inc is a Foot Surgery Podiatrist based in Missoula, MT and is specialized in Foot Surgery. G Gregg Neibauer, Dpm, Inc practices in Missoula, MT. The NPI Number for G Gregg Neibauer, Dpm, Inc is 1710928072 and holds a License No. 160 (Montana).

The current practice location address for G Gregg Neibauer, Dpm, Inc 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
institution
Provider Profile Details
NPI Number
1710928072
Provider Name
G Gregg Neibauer, Dpm, Inc
Credential
Provider Entity Type
Organization
Address
1845 Bancroft St, Missoula, MT, 59801-5747
Phone Number
406-721-4007
Fax Number
406-549-9807
Provider Enumeration Date
06/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0390779 05 MT
97315 01 MT BLUECROSSBLUESHIELD OF 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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