Organization
BOSCH NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS BOSCH (REGISTERED DIETITIAN)
(541) 844-7489
Entity
Organization
Contact information
Practice address
2455 FIELDCRESS RD, EUGENE, OR 97403-3255
(541) 505-7758
Mailing address
2455 FIELDCRESS RD, EUGENE, OR 97403-3255
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-10177915
OR
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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