Individual
MR. JOSEPH ROBERT CHAMPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LRD
Contact information
Practice address
2358 4TH ST W, DICKINSON, ND 58601-2433
(701) 260-4053
Mailing address
2358 4TH ST W, DICKINSON, ND 58601-2433
(701) 260-4053
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
864
ND
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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