| Doctor Name: | MR. RONALD RAYMOND SANDRETH |
| NPI Number: | 1831126366 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RD,LD |
| License Number: | 186 |
| Business Practice Address: | Louis A. Johnson Vamc 1 Medical Center Drive Clarksburg, WV - 26301 |
| Business Phone Number: | 3046267730 |
| Business Fax Number: | |
| Mailing Address: | 1 Medical Center Dr, Louis A Johnson Vamc CLARKSBURG |
| State: | WV |
| Postal Code: | 26301 |
| Phone Number: | 3046267730 |
| Fax Number: | |
| NPI Enumeration Date: | 06/28/2006 |
| NPI Last Update Date: | 07/12/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 186 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| 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 |