# VITRUVIAN DIETARY SOLUTIONS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396244505
- **Authorized official:** BRADFORD STEWARD M.D. (OWNER)
- **Authorized official phone:** (479) 799-5520

## Contact information

- **Practice address:** 2007 E NETTLETON AVE STE B, JONESBORO, AR 72401-5286
- **Practice address phone:** (870) 520-5013
- **Practice address fax:** (870) 520-5020
- **Mailing address:** 2007 E NETTLETON AVE STE B, JONESBORO, AR 72401-5286
- **Mailing address phone:** (870) 520-5013
- **Mailing address fax:** (870) 520-5020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | E-7271 | AR | Yes |
| 2083B0002X | Obesity Medicine (Preventive Medicine) Physician | E-7271 | AR | — |

## Other

- **Enumeration date:** 02/03/2018
- **Last updated:** 06/19/2019