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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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