NPI 1104535012

Travis Colton Eden, RDN

Practitioner Registered Dietitian Owasso, OK

Practice location

Address: 10301 N 98th East Ave, Owasso, OK 74055-7883
Phone: (479) 787-0811
Mailing address: 1819 E 19th St, Tulsa, OK 74104-5407

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 2512 (OK)

Other Dietitian, Registered providers in Oklahoma →

Registry record

NPI: 1104535012
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Nov 2022
Record last updated: 18 Nov 2022

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.