Organization
BANISTER & ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL BANISTER RDLD (OWNERMANAGER)
(405) 755-7561
Entity
Organization
Contact information
Practice address
10914 HEFNER POINTE DR STE 304, OKLAHOMA CITY, OK 73120-5068
(405) 755-7561
(405) 755-7615
Mailing address
10914 HEFNER POINTE DR STE 304, OKLAHOMA CITY, OK 73120-5068
(405) 755-7561
(405) 755-7615
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
251
OK
Other
Enumeration date
05/03/2007
Last updated
06/04/2024
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