NPI 1083712640

Pam Johnston

Practitioner Registered Dietitian Bethany, OK

Practice location

Address: 6800 NW 39th Expy, Bethany, OK 73008-2513
Phone: (405) 789-6711
Fax: (405) 789-0690

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 1104 (OK)

Other Dietitian, Registered providers in Oklahoma →

Registry record

NPI: 1083712640
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Sep 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.