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67 S Lewis And Clark Trl, Whitehall, MT 59759-9547 | |
(406) 209-3995 | |
(406) 451-0551 |
Full Name | |
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Type | Facility |
Speciality | Dietitian, Registered |
Location | 67 S Lewis And Clark Trl, Whitehall, Montana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275177560 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Amy D Horner |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1225420151 PECOS PAC ID: 4385071554 Enrollment ID: I20200227002260 |
Mailing Address | Practice Location Address |
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67 S Lewis And Clark Trl, Whitehall, MT 59759-9547 Ph: (406) 209-3995 | 67 S Lewis And Clark Trl, Whitehall, MT 59759-9547 Ph: (406) 209-3995 |
Amy D Horner, MPH, RD, CLC, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 67 S Lewis And Clark Trl, Whitehall, MT 59759 Phone: 406-209-3995 Fax: 406-451-0551 |