# AMY PULS, RD, LD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033361274
- **Authorized official:** MRS. AMY JO PULS R.D., L.D. (REGISTERED AND LICENSED DIETITIAN)
- **Authorized official phone:** (918) 430-5616

## Contact information

- **Practice address:** 619 S QUINCY AVE, TULSA, OK 74120-4621
- **Practice address phone:** (918) 430-5616
- **Mailing address:** 6510 E 97TH ST, TULSA, OK 74133-5902
- **Mailing address phone:** (918) 430-5616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | OK | Yes |

## Other

- **Enumeration date:** 10/21/2008
- **Last updated:** 10/21/2008