Individual
AUSTIN GOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, RDN, LDN
Contact information
Practice address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011
(417) 326-6000
Mailing address
5100 S MAIN AVE APT E307, SPRINGFIELD, MO 65810-7830
(417) 569-5442
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2019023201
MO
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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