NPI 1689851628

Brenda D Bustillos, MSRDLD

Practitioner Registered Dietitian Fort Sill, OK

Practice location

Address: 4301 Mow-Way Road (mcua-Ncd) Cdr Usameddac, Fort Sill, OK 73503-6300
Phone: (580) 458-3055
Fax: (580) 458-2846
Mailing address: PO Box 131, Medicine Park, OK 73557-0131

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence DT80151 (TX)

Other Dietitian, Registered providers in Oklahoma →

Registry record

NPI: 1689851628
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jan 2008
Record last updated: 22 Jan 2008

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.