Individual
ALTA PEILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
710 N 11TH ST, COLUMBUS, MT 59019-0959
(406) 322-1000
(406) 322-5207
Mailing address
PO BOX 551, COLUMBUS, MT 59019-0551
(406) 322-1095
(406) 322-5207
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
20255
MT
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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