Individual
SCOTT BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., R.D., L.D.N.
Contact information
Practice address
5409 NORTH KNOXVILLE AVE., PROCTOR HOSPITAL, PEORIA, IL 61614
(309) 691-1056
(309) 689-6010
Mailing address
5409 NORTH KNOXVILLE AVE., PROCTOR HOSPITAL, PEORIA, IL 61614
(309) 691-1056
(309) 689-6010
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
IL
Other
Enumeration date
10/02/2006
Last updated
07/09/2007
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