Organization Name: | NEW DIRECTIONS PHYSICIAN WEIGHT LOSS |
NPI Number: | 1275801508 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CASEY ANN SAMS (PROGRAM COORDINATOR) |
Mailing Address: | 5501 Pinnacle Pt Dr Rogers |
State: | AR US |
Postal Code: | 727588131 |
Phone Number: | 4792686404 |
Fax Number: | 4796576315 |
NPI Enumeration Date: | 12/01/2011 |
NPI Last Update Date: | 11/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 0543 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
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 |