Individual
AMY CAROLYN BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
UNIVERSITY OF OKLAHOMA MEDICAL CENTER, 700 NORTH EAST 13TH STREET, OKLAHOMA CITY, OK 73104
(405) 271-8001
Mailing address
18521 RASTRO DR, EDMOND, OK 73012-9600
(405) 596-9860
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1238
OK
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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