Doctor Name: | MR. ABDUL-AZIZ I BACO |
NPI Number: | 1154362309 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LRD |
License Number: | 221 |
Business Practice Address: | 167 North Main Street Tuba City, AZ - 860450600 |
Business Phone Number: | 9282832501 |
Business Fax Number: | 9282832677 |
Mailing Address: | Po Box 600, 167 North Main Street TUBA CITY |
State: | AZ |
Postal Code: | 860450600 |
Phone Number: | 9282832501 |
Fax Number: | 9282832677 |
NPI Enumeration Date: | 06/09/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 221 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |