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Individual

CARLA E COX

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PHD RD CDE

Contact information

Practice address
500 WEST BROADWAY, MISSOULA, MT 59802-4008
(406) 721-5600
(406) 721-3907
Mailing address
PO BOX 7609, MISSOULA, MT 59807-7609
(406) 721-5600
(406) 721-3907

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0280020
MT
Enumeration date
06/14/2006
Last updated
07/08/2007
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