Individual
DR. RICHARD W PUCHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
690 N MERIDIAN RD, SUITE 105, KALISPELL, MT 59901-3586
(406) 752-7289
(406) 752-8679
Mailing address
690 N MERIDIAN RD, SUITE 105, KALISPELL, MT 59901-3586
(406) 752-7289
(406) 752-8679
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
841
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000041441
BLUECROSS BLUESHIELD
MT
05
—
0056251
—
MT
05
—
0056420
—
MT
01
—
04-01483-3
WORKERS COMPENSATION
MT
Enumeration date
05/16/2007
Last updated
05/06/2024
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