NPI 1134647977

Daniel Burgess, RDNCD

Practitioner Registered Dietitian Provo, UT

Practice location

Address: 1034 N 500 W, Provo, UT 84604-3380
Phone: (801) 357-8413
Mailing address: PO Box 30180, Salt Lake City, UT 84130-0180

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 9897134-4901 (UT)

Other Dietitian, Registered providers in Utah →

Registry record

NPI: 1134647977
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Aug 2017
Record last updated: 31 Aug 2017

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.