MEDICARE: MR. RALPH RAYMOND MEER

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
1	133V00000X	Registered Dietitian	716191 - RD

General Provider Information

NPI Number	:	1871777367
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RALPH RAYMOND MEER

Provider Business Mailing Address
First Line	:	AKDHC, LLC
Second Line	:	3003 N CENTRAL AVE #400
City	:	PHOENIX
State	:	AZ
Zip	:	85012-0000
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	AKDHC, LLC
Second Line	:	2292 W MAGEE RD #150
City	:	TUCSON
State	:	AZ
Zip	:	85742-0000
Country	:	US
Telephone Number	:	520-547-2468
Fax Number	:	520-547-2471

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2007
Last Update Date	:	12/24/2007

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