DALE DARWIN DIEDE

GLENDIVE, MT
NPI1922156421
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: MT  166)
Enumeration Date2007-01-08
Last Update Date2024-02-14
Business Address
DALE DARWIN DIEDE PAC
202 PROSPECT DR
GLENDIVE, MT 59330-1943
Phone number: 406-345-3306
Mailing Address
DALE DARWIN DIEDE PAC
PO BOX 46
EKALAKA, MT 59324-0046
Phone number: 406-775-8738