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Organization
FOUNDATION WEIGHTWISE SERVICES, LLC
Active
Organization
FOUNDATION WEIGHTWISE SERVICES, LLC
Active
Other names
WeightWise at Edmond
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT MORTON BYERS (PRESIDENT / COO)
(405) 608-1700
Entity
Organization
Contact information
Practice address
1800 RENAISSANCE BLVD, SECOND FLOOR, EDMOND, OK 73013-3023
(405) 359-2473
(405) 359-2499
Mailing address
1800 RENAISSANCE BLVD, SECOND FLOOR, EDMOND, OK 73013-3023
(405) 359-2473
(405) 359-2499
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
133V00000X
Registered Dietitian
—
NULL
133V00000X
Registered Dietitian
—
—
363A00000X
Physician Assistant
Primary
—
NULL
363A00000X
Physician Assistant
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/14/2008
Last updated
01/14/2008
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