Organization
NUTRITION COUNSELING CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATSY ANN JOHNSON (ADMINISTRATIVE COORDINATOR)
(405) 271-2113
Entity
Organization
Contact information
Practice address
1200 N STONEWALL AVE, AHB 1082, OKLAHOMA CITY, OK 73117-1215
(405) 271-2866
(405) 271-3360
Mailing address
1200 N STONEWALL AVE, AHB 3057, OKLAHOMA CITY, OK 73117-1215
(405) 271-2113
(405) 271-1560
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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