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Nathaniel Moore, LAC
NPI 1518565803 · on the registry since 2020
Practice
- Address
- 200 Hubbart Dam Rd
Marion, MT 59925 - Phone
- (406) 296-4272
- Fax
- (406) 854-2835
- Organisation at this address
- Triple Divide Lodge Llc
Wilderness Alternative School, IncInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101YA0400X
- Licence states on file
- UT, MT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-06-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Montana