MEDICARE: NATALIE J BUCHER RD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133VN1006X	Metabolic Nutrition Registered Dietitian	511	MT

General Provider Information

NPI Number	:	1871697458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE J BUCHER RD

Provider Business Mailing Address
First Line	:	195 COMMONS LOOP
Second Line	:	SUITE E
City	:	KALISPELL
State	:	MT
Zip	:	59901-1912
Country	:	US
Telephone Number	:	406-871-2780
Fax Number	:	406-257-6496

Provider Business Practice Location Address
First Line	:	195 COMMONS LOOP
Second Line	:	SUITE E
City	:	KALISPELL
State	:	MT
Zip	:	59901-1912
Country	:	US
Telephone Number	:	406-871-2780
Fax Number	:	406-257-6496

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2006
Last Update Date	:	10/26/2009

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