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Contact Information

KARL J MANGOLD, DPM
2825 STOCKYARD RD
SUITE J-1
MISSOULA, MT59808-1503
 Phone: 406-543-5333
 Fax: 406-543-5621
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for KARL J MANGOLD · (Male)

NPI Number 1659528263
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/26/2008
Last updated 01/04/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • MT License # 174
  • MT Medicaid 0000298622
Hospital affiliation(s)
  • COMMUNITY MEDICAL CENTER INC - (Acute Care)
    2827 FORT MISSOULA RD
    MISSOULA, MT 59804
  • MARCUS DALY MEMORIAL HOSPITAL - CAH - (Critical Access)
    1200 WESTWOOD DR
    HAMILTON, MT 59840
  • ST PATRICK HOSPITAL - (Acute Care)
    500 W BROADWAY
    MISSOULA, MT 59806
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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