NPI 1083304380

Mark a Summerlin, RD

Practitioner Registered Dietitian Albuquerque, NM

Practice location

Address: 4701 Montgomery Blvd NE, Albuquerque, NM 87109-1219
Phone: (505) 727-7022
Mailing address: 1150 Monte Vista Dr, Bosque Farms, NM 87068-9238

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence LD2023090 (NM)

Other Dietitian, Registered providers in New Mexico →

Registry record

NPI: 1083304380
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 May 2023
Record last updated: 10 May 2023

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.