Individual
MS. ELIZABETH CHRISTINE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD,PA-C
Contact information
Practice address
800 S TUCKER DR, TULSA, OK 74104-9700
(918) 631-3717
Mailing address
800 S TUCKER DR, TULSA, OK 74104-9700
(918) 631-3717
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1678
OK
363A00000X
Physician Assistant
Primary
2767
OK
Other
Enumeration date
10/10/2013
Last updated
02/08/2017
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