Organization
RDBYYOURSIDE NUTRITION, LLC
Active
Other names
RDbyyourside
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH M PATTON MS, RDN, LD, CDE (OWNER)
(314) 246-0899
Entity
Organization
Contact information
Practice address
11628 OLD BALLAS RD STE 213, CREVE COEUR, MO 63141-7030
(314) 246-0899
Mailing address
11628 OLD BALLAS RD STE 213, CREVE COEUR, MO 63141-7030
(314) 246-0899
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2007013101
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477730125
INDIVIDUAL NPI
MO
Enumeration date
05/05/2015
Last updated
05/05/2015
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