Organization
AMY PULS, RD, LD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY JO PULS R.D., L.D. (REGISTERED AND LICENSED DIETITIAN)
(918) 430-5616
Entity
Organization
Contact information
Practice address
619 S QUINCY AVE, TULSA, OK 74120-4621
(918) 430-5616
Mailing address
6510 E 97TH ST, TULSA, OK 74133-5902
(918) 430-5616
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
OK
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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