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Organization
BLICK HEALTH INC.
Active
Organization
BLICK HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER GIBBONS (COO)
(314) 478-0055
Entity
Organization
Contact information
Practice address
5700 HIGHLANDS PLAZA DR APT 3002, SAINT LOUIS, MO 63110-1334
(314) 478-0055
Mailing address
5700 HIGHLANDS PLAZA DR APT 3002, SAINT LOUIS, MO 63110-1334
(314) 478-0055
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
—
—
Other
Enumeration date
09/07/2024
Last updated
09/07/2024
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