Individual
STEVEN PERRY FIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.D. L.D,
Contact information
Practice address
3709 RUTSON DR, AMARILLO, TX 79109-3933
(806) 290-3029
Mailing address
3709 RUTSON DR, AMARILLO, TX 79109-3933
(806) 290-3029
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT0369
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20720490
NATIONAL CERTIFICATION BOARD FOR DIABETES EDUCATORS
—
01
—
654562
COMMISSION ON DIETETIC REGISTRATION
—
01
—
DT03369
TX BOARD OF EXAMINERS OF DIETITIANS LICENSCE NUMBER
TX
Enumeration date
11/26/2012
Last updated
11/26/2012
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