NPI 1043441371
Dave Earl Egerdahl, RD
Practice location
- Address
- 1338 Phay Ave, Canon City, CO 81212-2302
- Phone
- (719) 285-2025
- Fax
- (719) 285-2277
- Mailing address
- 835 Bridge St APT 2, Canon City, CO 81212-4274
Registered specialties
Registered Dietitian
Primary
Registry record
- NPI
- 1043441371
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 4 Aug 2009
- Record last updated
- 4 Aug 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.