Doctor Name: | MISS REBECCA CLAIRE CANNON |
NPI Number: | 1932516903 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D., C.D. |
License Number: | 8837530-4901 |
Business Practice Address: | 900 Round Valley Dr Park City, UT - 840607552 |
Business Phone Number: | 4356587119 |
Business Fax Number: | |
Mailing Address: | 900 Round Valley Dr, PARK CITY |
State: | UT |
Postal Code: | 840607552 |
Phone Number: | 4356587119 |
Fax Number: | |
NPI Enumeration Date: | 07/22/2014 |
NPI Last Update Date: | 07/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 8837530-4901 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | UT |
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 |