Healthcare Provider Details

I. General information

NPI: 1518788363
Provider Name (Legal Business Name): JOSEPH PATRICK RIORDAN RD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2024
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 S CLARK ST
BUTTE MT
59701-9756
US

IV. Provider business mailing address

2564 WASHOE ST
BUTTE MT
59701-3260
US

V. Phone/Fax

Practice location:
  • Phone: 406-723-2528
  • Fax:
Mailing address:
  • Phone: 406-723-2528
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86373326
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: