Organization
NEW DIRECTIONS PHYSICIAN WEIGHT LOSS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CASEY ANN SAMS R.D. (PROGRAM COORDINATOR)
(479) 268-6404
Entity
Organization
Contact information
Practice address
5501 PINNACLE PT DR, ROGERS, AR 72758-8131
(479) 268-6404
(479) 657-6315
Mailing address
5501 PINNACLE PT DR, ROGERS, AR 72758-8131
(479) 268-6404
(479) 657-6315
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0543
AR
Other
Enumeration date
12/01/2011
Last updated
11/18/2013
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