Momentum Prosthetic Clinic LLC

NPI #1952797243 in Missoula, Montana

Provider Information

NPI Number: 1952797243
Entity Type: Organization
Organization Name: Momentum Prosthetic Clinic LLC
Primary Specialty: Prosthetic/Orthotic Supplier
Enumeration Date: Apr 13, 2015
Last Updated: Mar 2, 2022

Practice Location

Address: 3817 STEPHENS AVE STE 2
City: Missoula
State: Montana
ZIP Code: 59801-8542
Phone: (406) 926-1321

Authorized Official

Name: CLIFFORD HENRY CREEKMORE, CPO
Title: PRACTITIONER/MANAGING MEMBER
Phone: (406) 529-0474

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetic/Orthotic Supplier	335E00000X	Primary

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