Most Relevant Information
Provider Data
| NPI Number: | 1003693144 |
| Provider Name: | COURTNEY MEYERS |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | D-678 |
Most Important Dates
| Enumeration Date: | 09/12/2023 |
| Last Updated: | 09/12/2023 |
Provider Practice Location
957 HOSPITAL WAY BLDG D
POCATELLO
ID
832015096
Practice Location Phone/Fax
| Phone: | 2082392070 |
| Fax: |
Provider Mailing Location
957 HOSPITAL WAY BLDG D
POCATELLO
ID
832015096
Provider Mailing Phone/Fax
| Phone: | 2082392070 |
| Fax: |