Susan Pittman RD,LD,CDE

NPI 1427231182 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1427231182
Gender Female
Enumeration Date 12/17/2007
Last Updated 12/17/2007
Entity Type Individual
Active Over 8 years ago
Practice Location
1102 W 32ND ST
JOPLIN MO, 64804-3503, US
Phone (417) 347-5833
Fax (417) 347-5821
Business Location
1102 W 32ND ST
JOPLIN MO, 64804-3503, US
Phone (417) 347-5833
Fax (417) 347-5821
Toxanomy
Taxonomy Code 133V00000X
License State Missouri
License Number 2002023547
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According to our database, Susan Pittman RD,LD,CDE NPI is 1427231182, taxonomy code is 133V00000X and license number is 2002023547, license state is located at Missouri. Susan Pittman RD,LD,CDE physically located at 1102 W 32nd St, Joplin MO, 64804-3503. NPI Number Susan Pittman RD,LD,CDE has the Individual type.

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1427231182 NPI number is provided on an as is basis without warranty of any kind. 1427231182 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Pittman RD,LD,CDE are for informational purposes only.