Individual
JUSTIN HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LRD
Contact information
Practice address
1251 ELBOWOODS LOOP, NEW TOWN, ND 58763-9112
(701) 627-7962
Mailing address
1251 ELBOWOODS LOOP, NEW TOWN, ND 58763-9112
(701) 627-7962
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1376
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376
NORTH DAKOTA BOARD OF DIETETIC PRACTICE
ND
Enumeration date
08/30/2022
Last updated
04/22/2025
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