Organization
VITRUVIAN DIETARY SOLUTIONS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADFORD STEWARD M.D. (OWNER)
(479) 799-5520
Entity
Organization
Contact information
Practice address
2007 E NETTLETON AVE STE B, JONESBORO, AR 72401-5286
(870) 520-5013
(870) 520-5020
Mailing address
2007 E NETTLETON AVE STE B, JONESBORO, AR 72401-5286
(870) 520-5013
(870) 520-5020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-7271
AR
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
E-7271
AR
Other
Enumeration date
02/03/2018
Last updated
06/19/2019
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