Individual
ELIZABETH BERGHOFF-GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
710 N EAST ST, PARVIEW WABASH HOSPITAL, WABASH, IN 46992-1914
(260) 569-2362
Mailing address
4445 W 100 N, BLUFFTON, IN 46714-9754
(260) 694-6828
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37000444A
IN
Other
Enumeration date
04/26/2016
Last updated
01/26/2017
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