Individual
MR. GREGORY EARL THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
1011 HONOR HEIGHTS DR DEPT 120, MUSKOGEE, OK 74401-1318
(918) 577-3736
Mailing address
1011 HONOR HEIGHTS DR DEPT 120, MUSKOGEE, OK 74401-1318
(918) 577-3736
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD790
OK
Other
Enumeration date
04/22/2009
Last updated
04/22/2009
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