| Doctor Name: | MR. MARK ANTON PALMER |
| NPI Number: | 1326150392 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S., R.D., C.N.I.S. |
| License Number: | |
| Business Practice Address: | 11201 Benton St Loma Linda, CA - 923571000 |
| Business Phone Number: | 9098257084 |
| Business Fax Number: | 9094223108 |
| Mailing Address: | Va Loma Linda Healthcare System (120), 11201 Benton Street LOMA LINDA |
| State: | CA |
| Postal Code: | 923570001 |
| Phone Number: | 9098257084 |
| Fax Number: | 9094223108 |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 07/18/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| 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 |