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Individual

ANTHONY RICHARD WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RD, LD

Contact information

Practice address
105 E 9TH ST, CORALVILLE, IA 52241-2209
(319) 467-2337
Mailing address
3711 SOMERSET DR, BETTENDORF, IA 52722-2763
(563) 340-1517

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
097428
IA

Other

Enumeration date
07/11/2019
Last updated
07/11/2019
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