Individual
TRICIA DAWN MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., CDE
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Mailing address
PO BOX 17808, TUCSON, AZ 85731-7808
(623) 256-8380
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
925937
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
933946
—
AZ
01
—
P00624820
RAILROAD MEDICARE
AZ
Enumeration date
11/28/2005
Last updated
11/22/2022
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