Individual
AUSTIN TEDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RD
Contact information
Practice address
9305 W THOMAS RD STE 360, PHOENIX, AZ 85037-3367
(623) 327-8200
Mailing address
14717 N 91ST LN, PEORIA, AZ 85381-2703
(623) 313-6223
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86060863
AZ
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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