MR. RICHARD WALLACE, LICAC

Nutritionist

Active Individual
NPI: 1750458402

Practice Address

914 13TH AVE SOUTH
Great Falls, MT 59405

Phone: (406) 761-3767

Specialties

Specialty Code Primary License
Nutritionist 133N00000X Yes 450 (MT)
Dietitian, Registered 133V00000X No 450 (MT)
Acupuncturist 171100000X No 162 (MT)

Frequently Asked Questions

NPI 1750458402 is the National Provider Identifier for MR. RICHARD WALLACE, LICAC, a Nutritionist provider located in Great Falls, MT. This NPI was enumerated on November 29, 2006.
MR. RICHARD WALLACE, LICAC practices at 914 13TH AVE SOUTH, Great Falls, MT 59405.

Quick Facts

NPI
1750458402
Type
Individual
Enumerated
Nov 29, 2006
Last Updated
Sep 11, 2025

Nearby Providers

Same Specialty