MR. Dave Earl Egerdahl, R.D.

NPI #1043441371 in Canon City, Colorado

Provider Information

NPI Number: 1043441371
Entity Type: Individual
Name: MR. Dave Earl Egerdahl, R.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: R.D.
Enumeration Date: Aug 4, 2009
Last Updated: Aug 4, 2009

Practice Location

Address: 1338 PHAY AVE
City: Canon City
State: Colorado
ZIP Code: 81212-2302
Phone: (719) 285-2025

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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