Renal Dietitian Specialists Of Oklahoma | |
1 S Broadway Ste 303, Edmond, OK 73034-3706 | |
(405) 906-7133 | |
(405) 546-2645 |
Full Name | Renal Dietitian Specialists Of Oklahoma |
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Type | Facility |
Speciality | Dietitian, Registered |
Location | 1 S Broadway Ste 303, Edmond, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1699325324 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Margaret Tarr Deshazer |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1891343752 PECOS PAC ID: 4587098751 Enrollment ID: I20191220001372 |
Mailing Address | Practice Location Address |
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Renal Dietitian Specialists Of Oklahoma 20 E Blanch Ave, Edmond, OK 73034-3633 Ph: (405) 822-6129 | Renal Dietitian Specialists Of Oklahoma 1 S Broadway Ste 303, Edmond, OK 73034-3706 Ph: (405) 906-7133 |
Mrs. Kalyn Lee Khalaf, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15800 Langley Way, Edmond, OK 73013 Phone: 405-361-1040 | |
Diana K. Rice Nutrition, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 239 N Broadway, Edmond, OK 73034 Phone: 405-509-5146 | |
Nina Brumley, R.D L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 120 N Bryant Ave, Suite A9, Edmond, OK 73034 Phone: 405-285-4762 Fax: 405-285-4352 | |
Mrs. Sheila J Groves, MS, RD/LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4801 Integris Pkwy, Edmond, OK 73034 Phone: 405-773-6606 Fax: 405-471-0024 | |
Carliani Alvarenga Rambo, MS, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2408 Wellington Way, Edmond, OK 73012 Phone: 501-428-3302 | |
Brooke Bowlware, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3325 S Boulevard Ste 169, Edmond, OK 73013 Phone: 405-990-5553 | |
Mrs. Jennifer Southard, MS, RD/LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3120 S Boulevard Ste 127, Edmond, OK 73013 Phone: 405-960-3120 |