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MR. AUSTIN ACREE MS, RD

>> Dietitian, Registered >> Dietary & Nutritional Service Providers

Registrant NPI Number: 1790245587

Individual Registrant:
MR. AUSTIN  ACREE MS, RD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
200 WEST HOSPITAL DRIVE  WHITERIVER, AZ 85941 US
Tel: 928-338-3781  Fax: --

Contact information for business:
PO BOX 860  WHITERIVER, AZ 85941-0860 US
Tel: 928-338-3781  Fax: --

Registration Information:
NPI: 1790245587
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
IL164007181
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
IL86099643
N133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
IA088682

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AZ - Page 1



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