Individual
HEATHER DORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
(918) 577-3287
Mailing address
300 ROCKEFELLER DR, MUSKOGEE, OK 74401-5075
(918) 682-5501
(918) 684-3390
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1093785
OK
133V00000X
Registered Dietitian
Primary
2022
OK
Other
Enumeration date
05/19/2015
Last updated
05/09/2024
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