| Mr Xavier Jacob Lee Pearson, MS, RD, LD, CNSC | |
|
1500 N Oakland Ave, Bolivar, MO 65613-3011 | |
| (417) 328-6462 | |
| Not Available |
| Full Name | Mr Xavier Jacob Lee Pearson |
|---|---|
| Gender | Male |
| Speciality | Dietitian, Registered |
| Location | 1500 N Oakland Ave, Bolivar, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316674609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 2014031795 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Xavier Jacob Lee Pearson, MS, RD, LD, CNSC 776 W Pearl St, Bolivar, MO 65613-2878 Ph: (417) 298-1366 | Mr Xavier Jacob Lee Pearson, MS, RD, LD, CNSC 1500 N Oakland Ave, Bolivar, MO 65613-3011 Ph: (417) 328-6462 |
Samantha Annitza Lazar, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1500 N Oakland Ave, Bolivar, MO 65613 Phone: 417-328-6752 | |
Grace Cidlik, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1500 N. Oakland, Bolivar, MO 65613 Phone: 417-326-6000 | |
Mesha Cowan, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1500 N Oakland Ave, Bolivar, MO 65613 Phone: 417-328-6752 | |
Ms. Daniela Novotny, R.D. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1500 N Oakland Ave, Bolivar, MO 65613 Phone: 417-328-6737 Fax: 417-328-6649 | |
Austin Gott, MS, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1500 N Oakland Ave, Bolivar, MO 65613 Phone: 417-326-6000 | |
Lynetta S Smith, MS, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1500 N Oakland Ave, Bolivar, MO 65613 Phone: 417-326-6000 |