Organization
FOUNDATION WEIGHTWISE SERVICES, LLC
Active
Other names
WeightWise at Edmond
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT MORTON BYERS (PRESIDENT / COO)
(405) 608-1700
Entity
Organization
Contact information
Practice address
1800 RENAISSANCE BLVD, SECOND FLOOR, EDMOND, OK 73013-3023
(405) 359-2473
(405) 359-2499
Mailing address
1800 RENAISSANCE BLVD, SECOND FLOOR, EDMOND, OK 73013-3023
(405) 359-2473
(405) 359-2499
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
133V00000X
Registered Dietitian
—
—
363A00000X
Physician Assistant
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/14/2008
Last updated
01/14/2008
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