Doctor Name: | MR. MARTIN D SMITH |
NPI Number: | 1194091041 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RD, LD |
License Number: | 280 |
Business Practice Address: | 2960 Tongass Ave Ketchikan, AK - 999015742 |
Business Phone Number: | 9072289441 |
Business Fax Number: | 8005910121 |
Mailing Address: | 2960 Tongass Ave, KETCHIKAN |
State: | AK |
Postal Code: | 999015742 |
Phone Number: | 9072289441 |
Fax Number: | 8005910121 |
NPI Enumeration Date: | 03/26/2012 |
NPI Last Update Date: | 03/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 280 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
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 |