Individual
MR. DAVE EARL EGERDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.D.
Contact information
Practice address
1338 PHAY AVE, CANON CITY, CO 81212-2302
(719) 285-2025
(719) 285-2277
Mailing address
835 BRIDGE ST APT 2, CANON CITY, CO 81212-4274
(719) 371-8161
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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