Individual
MR. GREGORY S THORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD/LD
Contact information
Practice address
3903 RIVERSIDE DR, APT 3, TULSA, OK 74105-3064
(918) 639-8268
Mailing address
3903 RIVERSIDE DR, APT 3, TULSA, OK 74105-3064
(918) 639-8268
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1645
OK
Other
Enumeration date
09/01/2010
Last updated
09/01/2010
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