Organization
MEDICAL NUTRITION SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK MERCER (CREDENTIALING EXECUTIVE)
(720) 447-1650
Entity
Organization
Contact information
Practice address
144 N 8TH AVE, BRIGHTON, CO 80601-1728
(720) 447-1650
Mailing address
144 N 8TH AVE, BRIGHTON, CO 80601-1728
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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