G Gregg Neibauer, Dpm, Inc in Missoula - Foot Surgery

G Gregg Neibauer, Dpm, Inc - NPI 1710928072

G Gregg Neibauer, Dpm, Inc is a Foot Surgery in Missoula, Montana. G Gregg Neibauer, Dpm, Inc practices all healthcare services and medical treatments related to Foot Surgery. The NPI Number for G Gregg Neibauer, Dpm, Inc is 1710928072. The last update date is 2014-04-07.

G Gregg Neibauer, Dpm, Inc's current location address is 1845 Bancroft St, Missoula, Montana. You can contact this provider via phone number 4067214007 and fax number 4065499807. The mailing address for G Gregg Neibauer, Dpm, Inc is 1845 Bancroft St, Missoula, Montana. To know further, please read the information below!

Provider Profile Detail

Provider Organization G Gregg Neibauer, Dpm, Inc
Address 1845 Bancroft St, Missoula, Montana
Phone Number 4067214007
Fax Number 4065499807
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Neibauer Gregg Gary
Credentials D.P.M.
Telephone Number 4067214007

NPI Number Detail

NPI Number 1710928072
Provider Enumeration Date 2006-06-09
Last Updated Date 2014-04-07

Provider Mailing Address Detail

Address 1845 Bancroft St
City Missoula
State Montana (MT)
Post Code 598015747
Phone Number 4067214007
Fax Number 4065499807

Provider's Primary Taxonomy Detail

Speciality Foot Surgery
Taxonomy 213Es0131X
Licence No 160
Definition:
A doctor of podiatric medicine who specializes in performing foot and ankle surgeries.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
390779 MT --
97315 MT BLUECROSSBLUESHIELD OF MT

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FAQs about G Gregg Neibauer, Dpm, Inc

What is the unique identifier code issued to G Gregg Neibauer, Dpm, Inc by the Centers for Medicare & Medicaid Services?

The G Gregg Neibauer, Dpm, Inc has been assigned the NPI (National Provider Identifier) 1710928072. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where G Gregg Neibauer, Dpm, Inc is physically located?

The G Gregg Neibauer, Dpm, Inc is situated at the following address: 1845 Bancroft St, Missoula, MT 598015747.

What is G Gregg Neibauer, Dpm, Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for G Gregg Neibauer, Dpm, Inc is Foot Surgery, and the taxonomy code that categorizes this field of expertise is 213Es0131X.

When did the G Gregg Neibauer, Dpm, Inc receive its 1710928072?

The G Gregg Neibauer, Dpm, Inc was issued its 1710928072 on 2006-06-09, which is the date when the organization was assigned this unique identifier.

As of what date were the G Gregg Neibauer, Dpm, Inc's details last updated?

The information pertaining to the G Gregg Neibauer, Dpm, Inc, including its address, specialty, and other details, was most recently updated on 2014-04-07.

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