Doctor Name: | MR. CHARLES W COE |
NPI Number: | 1477675312 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RDLD |
License Number: | 457 |
Business Practice Address: | 11024 Montgomery Ne Ste 155 Global Nutrition Services Albuquerque, NM - 87111 |
Business Phone Number: | 5053328070 |
Business Fax Number: | 5052756678 |
Mailing Address: | 11024 Montgomery Ne, Ste 155 ALBUQUERQUE |
State: | NM |
Postal Code: | 87111 |
Phone Number: | 5053328070 |
Fax Number: | 5052756678 |
NPI Enumeration Date: | 04/04/2007 |
NPI Last Update Date: | 06/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 457 |
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 |