Individual
SUMMER WILSON THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD/LD
Contact information
Practice address
1007 S PEORIA AVE, TULSA, OK 74120-4495
(918) 858-5217
(918) 592-3024
Mailing address
5332 E 20TH ST, TULSA, OK 74112-6918
(918) 712-9224
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1329
OK
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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