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NPI Code Detail

MEDICARE: SUSAN PERAZZO RDN, CD

MEDICARE: SUSAN PERAZZO RDN, CD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian

General Provider Information

NPI Number : 1851250724
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN PERAZZO RDN, CD
Provider Business Mailing Address
First Line : 2319 S FOOTHILL DR STE 180
Second Line :
City : SLC
State : UT
Zip : 84109-5403
Country : US
Telephone Number : 385-722-4393
Fax Number : 833-296-7437
Provider Business Practice Location Address
First Line : 2319 S FOOTHILL DR STE 180
Second Line :
City : SLC
State : UT
Zip : 84109-5403
Country : US
Telephone Number : 801-814-5016
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2026
Last Update Date : 01/16/2026

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Directions to “ SUSAN PERAZZO RDN, CD” Practice Location

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