Individual
BRYCE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD, LD
Contact information
Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5091
(918) 342-6658
Mailing address
2501 E 134TH CIR S, BIXBY, OK 74008-4970
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3320
OK
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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