Individual
DEREK GROATHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
3801 S JAMES ST STE 400, GRIMES, IA 50111-5167
(515) 695-3767
Mailing address
3515 S DUFF AVE, AMES, IA 50010-8504
(515) 480-8761
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
121584
IA
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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