BIG BLUE STAR LLC
Dietitian, Registered
Active
Organization
NPI: 1396072344
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Surgery | 208600000X | No | - |
| Specialist | 174400000X | No | - |
| Clinical Medical Laboratory | 291U00000X | No | - |
| Dietitian, Registered | 133V00000X | Yes | - |
Frequently Asked Questions
NPI 1396072344 is the National Provider Identifier for BIG BLUE STAR LLC, a Dietitian, Registered provider located in Edmond, OK. This NPI was enumerated on November 12, 2009.
Quick Facts
- NPI
- 1396072344
- Type
- Organization
- Enumerated
- Nov 12, 2009
- Last Updated
- Dec 17, 2009
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BRADLEY TAYLOR, D.O.
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