Individual
MELINDA BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
900 17TH ST., WOODWARD, OK 73801
(580) 254-8456
(580) 254-8457
Mailing address
900 17TH ST., WOODWARD, OK 73801
(580) 254-8456
(580) 254-8457
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD939
OK
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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