NPI 1316612906

Charles Randolph Hewitt

Practitioner Sports Dietetics Nutrition Registered Dietitian Apo, AA

Practice location

Address: 71 Medical Group, Apo, AA 73705
Phone: (580) 213-6751
Mailing address: 1517 S Ashton Ave, Stillwater, OK 74074-1877

Registered specialties

Sports Dietetics Nutrition Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133VN1501X Licence 2021 (OK)

Other Dietitian, Registered providers in Armed Forces Americas →

Registry record

NPI: 1316612906
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Aug 2021
Record last updated: 16 Aug 2021

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.