Doctor Name: | DAVID THOMAS BROWN |
NPI Number: | 1770565848 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RD |
License Number: | 713185 |
Business Practice Address: | 5955 Zeamer Ave Elmendorf Afb, AK - 995063702 |
Business Phone Number: | 9075806481 |
Business Fax Number: | |
Mailing Address: | 8907 Kak Island St, EAGLE RIVER |
State: | AK |
Postal Code: | 995778554 |
Phone Number: | 9076943625 |
Fax Number: | |
NPI Enumeration Date: | 11/15/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 713185 |
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 |