Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
REBECCA MICHELLE SUDDOCK, MS,RD/LD,CSP
Active Sole ProprietorPediatric Nutrition · OKLAHOMA CITY, OK
Registration Details
- NPI Number
- 1992008452
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 6, 2010 (15.375231764115 yrs)
- Last Updated
- Dec 6, 2010
- License
-
1105 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1200 N PHILLIPS AVESUITE 9500OKLAHOMA CITY, OK, 731044600Browse OK providers · Browse ZIP 73104
- Phone
- 4052718001
- Fax
- 4052717866
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
Other Pediatric Nutrition Providers in OKLAHOMA CITY, OK
| Name | Credential | NPI |
|---|---|---|
| AMY MOORE | RD, LD, CDE | 1801010095 |
| MRS. HEATHER DAWN BROWN | RD,LD | 1619312865 |
| KATY MARIE MILLER | MA, RD/LD | 1982281119 |
| MADDISON JOSIE WILLIAMS | MS, RD/LD | 1750269106 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.