Individual
MARILYN R DOUGHERTY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
6201 N SANTA FE AVE, SUITE 2000, OKLAHOMA CITY, OK 73118-7532
(405) 272-5407
(405) 272-5492
Mailing address
6201 N SANTA FE AVE, SUITE 2000, OKLAHOMA CITY, OK 73118-7532
(405) 272-5407
(405) 272-5492
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD775
OK
Other
Enumeration date
07/26/2005
Last updated
07/08/2007
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