Provider Demographics
NPI:1871777367
Name:MEER, RALPH RAYMOND
Entity type:Individual
Prefix:MR
First Name:RALPH
Middle Name:RAYMOND
Last Name:MEER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AKDHC, LLC
Mailing Address - Street 2:3003 N CENTRAL AVE #400
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-0000
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:AKDHC, LLC
Practice Address - Street 2:2292 W MAGEE RD #150
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85742-0000
Practice Address - Country:US
Practice Address - Phone:520-547-2468
Practice Address - Fax:520-547-2471
Is Sole Proprietor?:No
Enumeration Date:2007-12-20
Last Update Date:2007-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
716191 - RD133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered