| Doctor Name: | RONALD M FOSSON |
| NPI Number: | 1730583725 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RD, CDE |
| License Number: | 636306 |
| Business Practice Address: | 483 W. Seed Farm Rd Gila River Health Care Corporation, Sacaton, AZ - 851470038 |
| Business Phone Number: | 6025281200 |
| Business Fax Number: | 6025281255 |
| Mailing Address: | Po Box 38, Gila River Health Care Corporation, SACATON |
| State: | AZ |
| Postal Code: | 851470001 |
| Phone Number: | 6025281200 |
| Fax Number: | 6025281255 |
| NPI Enumeration Date: | 10/20/2014 |
| NPI Last Update Date: | 10/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 636306 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| 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 |