Debbra D. Bazata, R.D., L.D. M.A. CDE
NPI #1093922098 in Overland Park, Kansas
Provider Information
- NPI Number
- 1093922098
- Entity Type
- Individual
- Name
- Debbra D. Bazata, R.D., L.D. M.A. CDE
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered
- Credential
- R.D., L.D. M.A. CDE
- Enumeration Date
- May 17, 2007
- Last Updated
- Oct 9, 2012
Practice Location
- Address
- 12330 METCALF AVE
- Address 2
- STE. 500
- City
- Overland Park
- State
- Kansas
- ZIP Code
- 66213-1324
- Phone
- (913) 317-3170
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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