Mr. Richard Dean Wallace, LICAC
Mr. Richard Dean Wallace, LICAC is a Nutritionist in Great Falls, Montana. Licensed in Montana. Registered with an NPI since 2006.
- Licensed in
- MT
- In the registry since
- 2006
- Specialties on file
- 3
Practice location Address checks out
914 13th Ave SGreat Falls, MT 59405
Phone: (406) 761-3767
Fax: (406) 761-3038
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nutritionist (primary) | Taxonomy 133N00000X · Licence 450 (MT) |
|---|---|
| Registered Dietitian | Taxonomy 133V00000X · Licence 450 (MT) |
| Acupuncturist | Taxonomy 171100000X · Licence 162 (MT) |
Record details
| NPI number | 1750458402 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LICAC |
| Sole proprietor | No |
| NPI enumerated | November 29, 2006 |
| Last updated in NPPES | September 11, 2025 |
Other providers in Great Falls
-
Hannah C Cham-A-Koon, RD
1101 26th St S, Great Falls, MT 59405-5161 · (406) 455-5000