Polly Rae Graham in Davenport - Dietitian, Registered

Polly Rae Graham - NPI 1760698674

Polly Rae Graham is a Dietitian, Registered in Davenport, Iowa. Polly Rae Graham practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Polly Rae Graham is 1760698674. The last update date is 2007-07-08.

Polly Rae Graham's current location address is 1227 E Rusholme St, Davenport, Iowa. You can contact this provider via phone number 5634216943 and fax number 5634216959. The mailing address for Polly Rae Graham is 1227 E Rusholme St, Davenport, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Polly Rae Graham
Address 1227 E Rusholme St, Davenport, Iowa
Phone Number 5634216943
Fax Number 5634216959
Sole Proprietor N
Credentials MBA, RD, L

NPI Number Detail

NPI Number 1760698674
Provider Enumeration Date 2007-05-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1227 E Rusholme St
City Davenport
State Iowa (IA)
Post Code 528032459
Phone Number 5634216943
Fax Number 5634216959

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No 732
Definition:
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of

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FAQs about Polly Rae Graham

What is the unique 10-digit identification code issued to Polly Rae Graham by the Centers for Medicare & Medicaid Services?

The Polly Rae Graham has been assigned the NPI (National Provider Identifier) 1760698674 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Polly Rae Graham's facilities are geographically located?

The facilities of Polly Rae Graham are physically situated at the following location: 1227 E Rusholme St, Davenport, IA, 528032459.

What is Polly Rae Graham's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Polly Rae Graham is Dietitian, Registered, and the taxonomy classification code that categorizes this area of expertise is 133V00000X.

When did Polly Rae Graham receive its 1760698674 assignment?

The Polly Rae Graham was assigned its 1760698674 on 2007-05-15, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Polly Rae Graham, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Polly Rae Graham, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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