Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RICHARD DEAN WALLACE, LICAC
ActiveMR. RICHARD DEAN WALLACE, LICAC is a Nutritionist healthcare provider located in GREAT FALLS, Montana. NPI 1750458402 is currently active in the NPPES registry. Verify at CMS.
Nutritionist · GREAT FALLS, MT
Registration Details
- NPI Number
- 1750458402
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 29, 2006 (19.663743885774 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
450 (MT)450 (MT)162 (MT)
Practice Information
- Address
-
914 13TH AVE SOUTHGREAT FALLS, MT, 59405Browse MT providers · Browse ZIP 59405
- Phone
- 4067613767
- Fax
- 4067613038
- Primary Specialty
-
Nutritionist
133N00000X
- Additional Specialty
- Registered Dietitian
- Additional Specialty
- Acupuncturist
Other Nutritionist Providers in GREAT FALLS, MT
| Name | Credential | NPI |
|---|---|---|
| HANNAH C CHAM-A-KOON | R.D. | 1356789598 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.