| Vitruvian Dietary Solutions, Pllc | |
|
2007 E Nettleton Ave Ste B Jonesboro AR 72401-5286 | |
| (870) 520-5013 | |
| (870) 520-5020 |
| Full Name | Vitruvian Dietary Solutions, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2007 E Nettleton Ave Ste B, Jonesboro, Arkansas |
| Authorized Official Name and Position | Bradford Steward (OWNER) |
| Authorized Official Contact | 4797995520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitruvian Dietary Solutions, Pllc 2007 E Nettleton Ave Ste B Jonesboro AR 72401-5286 Ph: (870) 520-5013 | Vitruvian Dietary Solutions, Pllc 2007 E Nettleton Ave Ste B Jonesboro AR 72401-5286 Ph: (870) 520-5013 |
| NPI Number | 1396244505 |
|---|---|
| Provider Enumeration Date | 02/03/2018 |
| Last Update Date | 06/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396244505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E-7271 (Arkansas) | Primary |
| 2083B0002X | Preventive Medicine - Obesity Medicine | E-7271 (Arkansas) | Secondary |
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