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Contact Information

REBECCA M SUDDOCK, MS,RD/LD,CSP
1200 N PHILLIPS AVE
SUITE 9500
OKLAHOMA CITY, OK73104-4600
 Phone: 405-271-8001
 Fax: 405-271-7866
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for REBECCA M SUDDOCK · (Female)

NPI Number 1992008452
Status Active
Credentials MS,RD/LD,CSP
Entity Individual
Enumeration date 12/06/2010
Last updated 12/06/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 1105
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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