Whalio Doctors

NPI 1336441781

Larry Stanbrough, RDLDCDE

Practitioner Registered Dietitian Yukon, OK

Practice location

Address
1201 Health Center Pkwy, Yukon, OK 73099-6381
Phone
(405) 717-6800
Fax
(405) 717-5368

Registered specialties

Registered Dietitian Primary
Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 769 (OK)

Registry record

NPI
1336441781
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 Nov 2010
Record last updated
17 Nov 2010

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.