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Organization
NEW DIRECTIONS PHYSICIAN WEIGHT LOSS
Active
Organization
NEW DIRECTIONS PHYSICIAN WEIGHT LOSS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CASEY ANN SAMS R.D. (PROGRAM COORDINATOR)
(479) 268-6404
Entity
Organization
Contact information
Practice address
5501 PINNACLE PT DR, ROGERS, AR 72758-8131
(479) 268-6404
(479) 657-6315
Mailing address
5501 PINNACLE PT DR, ROGERS, AR 72758-8131
(479) 268-6404
(479) 657-6315
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0543
AR
Other
Enumeration date
12/01/2011
Last updated
11/18/2013
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