Doctor Name: | ROBERT CLASE |
NPI Number: | 1174834873 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | 25643 |
Business Practice Address: | 715 Nucleus Ave Columbia Falls, MT - 599124015 |
Business Phone Number: | 5742157929 |
Business Fax Number: | 4067550545 |
Mailing Address: | 243 Mcwenneger Dr, KALISPELL |
State: | MT |
Postal Code: | 599017794 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/28/2010 |
NPI Last Update Date: | 02/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 25643 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |