Individual
TRAVIS COLTON EDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
10301 N 98TH EAST AVE, OWASSO, OK 74055-7883
(479) 787-0811
Mailing address
1819 E 19TH ST, TULSA, OK 74104-5407
(918) 744-3624
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2512
OK
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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