Individual
BETH SIWEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, RN, MPH
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016
(602) 933-3366
(602) 933-4264
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1813
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
164.004197
IL
133V00000X
Registered Dietitian
Primary
881149
AZ
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
Other
Enumeration date
03/13/2007
Last updated
06/25/2019
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