Individual
STACY CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, RD, LD, CNSC
Contact information
Practice address
4300 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8304
(940) 557-8895
Mailing address
4300 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8304
(940) 557-8895
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT84166
TX
Other
Enumeration date
03/17/2025
Last updated
03/24/2025
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