Dr. James G Clough
Podiatrist
104 Rufus Ln
Polson
, Montana 59860-8903
Dr. James G Clough
Podiatrist
104 Rufus Ln
Polson
, Montana 59860-8903
(406) 676-0835
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Dr. James G Clough
- 107 6th Ave Sw
- Ronan, MT
- Zip : 59864-2634
- Fax : (406) 676-0835
- Phone : (406) 676-4441
Second Address
- Dr. James G Clough
- 104 Rufus Ln
- Polson, MT
- Zip : 59860-8903
- Fax : (406) 883-2559
- Phone : (406) 883-2555
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 75 | MT |
| Y | 222Z00000X | Podiatrist | 75 | MT |
National Provider Identifier
| NPI | 1013999846 |
|---|---|
| Provider Name | Dr. James G Clough |
| First Address | Ronan, MT 59864-2634 |
| Second Address | Polson, MT 59860-8903 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/11/2005 |
| Last Update Date | 23/04/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| T89395 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.