Individual
SUSAN REBECCA PAYLOR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
115 W 3RD ST, TULSA, OK 74103-3410
(918) 585-3045
(918) 585-3047
Mailing address
115 W 3RD ST, TULSA, OK 74103-3421
(918) 585-3045
(918) 585-3047
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
332
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20006400A
—
OK
Enumeration date
03/17/2006
Last updated
07/08/2007
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