Organization
DAVIS AND DAVIS DIETARY LLC
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
AARON MICHAEL DAVIS RDN (CEO)
(765) 729-3735
Entity
Organization
Contact information
Practice address
4946 LEWISTON DR, INDIANAPOLIS, IN 46254-7101
(765) 729-3735
Mailing address
4946 LEWISTON DR, INDIANAPOLIS, IN 46254-7101
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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