Gary Ditson
Nutrition
120 E Pearce Blvd
Wentzville
, Missouri 63385-1511
(636) 327-4747
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About
Features
Specialties
- Nutrition
Languages spoken
- English
Location
First Address
- Gary Ditson
- 120 E Pearce Blvd
- Wentzville, MO
- Zip : 63385-1511
- Phone : (636) 327-4747
Second Address
- Gary Ditson
- 120 E Pearce Blvd
- Wentzville, MO
- Zip : 63385-1511
- Phone : (636) 327-4747
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NN1001X | Nutrition | 3924 | MO |
National Provider Identifier
| NPI | 1497081251 |
|---|---|
| Provider Name | Gary Ditson |
| First Address | Wentzville, MO 63385-1511 |
| Second Address | Wentzville, MO 63385-1511 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/10/2009 |
| Last Update Date | 28/10/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.