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Search › Arizona › Registered Dietitian

Glen Revere, R.D., C.D.E

NPI 1477628980 · on the registry since 2006 · sole proprietor

Practice

Address
12033 Agency Rd
Parker, AZ 85344
Phone
(928) 669-2137
Fax
(928) 669-3131
Organisation at this address
Pihc
Dhhs Ihs Phoenix Area
Lucy Charlene Nichols
Dhhs Ihs Phoenix Area
Dhhs Ihs Phoenix Area
Inferred from a shared address, not stated in the registry.
Clinicians at this address
255

Registry record

Primary taxonomy
Registered Dietitian
133V00000X
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona