Most Relevant Information
Provider Data
| NPI Number: | 1003406083 |
| Provider Name: | JAMES DAVID MIDDLETON RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 37003145A |
Most Important Dates
| Enumeration Date: | 01/22/2021 |
| Last Updated: | 01/22/2021 |
Provider Practice Location
1481 W 10TH ST
INDIANAPOLIS
IN
462022803
Practice Location Phone/Fax
| Phone: | 7656358310 |
| Fax: |
Provider Mailing Location
6349 N COLLEGE AVE APT 546
INDIANAPOLIS
IN
462201776
Provider Mailing Phone/Fax
| Phone: | 7656358310 |
| Fax: |