Dietra Montalvo is a Clinical in Fort Bragg, North Carolina. Dietra Montalvo practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dietra Montalvo is 1043290273. The last update date is 2016-03-21.
Dietra Montalvo's current location address is Mcxc Dpc Mho, Fort Bragg, North Carolina. You can contact this provider via phone number 9105555555. The mailing address for Dietra Montalvo is Mcxc Dpc Mho, Fort Bragg, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dietra Montalvo |
|---|---|
| Address | Mcxc Dpc Mho, Fort Bragg, North Carolina |
| Phone Number | 9105555555 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1043290273 |
|---|---|
| Provider Enumeration Date | 2006-01-23 |
| Last Updated Date | 2016-03-21 |
Provider Mailing Address Detail
| Address | Mcxc Dpc Mho |
|---|---|
| City | Fort Bragg |
| State | North Carolina (NC) |
| Post Code | 283107301 |
| Phone Number | 9105555555 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C0004559 |
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Post Comment/ Review Below
What is the unique identifier code issued to Dietra Montalvo by the Centers for Medicare & Medicaid Services?
The Dietra Montalvo has been assigned the NPI (National Provider Identifier) 1043290273. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Dietra Montalvo?
The Dietra Montalvo is situated at Mcxc Dpc Mho, in the city of Fort Bragg, state of NC, with the zip code 283107301.
What is Dietra Montalvo's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Dietra Montalvo is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1043290273 to Dietra Montalvo?
The Dietra Montalvo received its 1043290273 assignment from the Centers for Medicare & Medicaid Services on 2006-01-23.
When was the information pertaining to Dietra Montalvo most recently updated or revised?
The details related to Dietra Montalvo, including its address, specialty, and other relevant information, were last updated or revised on 2016-03-21.