Crystal Brook Montgomery-Bunn in Claremore - Dietitian, Registered
Crystal Brook Montgomery-Bunn - NPI 1285716803
Crystal Brook Montgomery-Bunn is a Dietitian, Registered in Claremore, Oklahoma. Crystal Brook Montgomery-Bunn practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Crystal Brook Montgomery-Bunn is 1285716803. The last update date is 2007-07-08.
Crystal Brook Montgomery-Bunn's current location address is 15336 E 470 Rd, Claremore, Oklahoma. You can contact this provider via phone number 9185570022. The mailing address for Crystal Brook Montgomery-Bunn is 15336 E 470 Rd, Claremore, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Crystal Brook Montgomery-Bunn |
|---|---|
| Address | 15336 E 470 Rd, Claremore, Oklahoma |
| Phone Number | 9185570022 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MSHA, RD/L |
NPI Number Detail
| NPI Number | 1285716803 |
|---|---|
| Provider Enumeration Date | 2006-10-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15336 E 470 Rd |
|---|---|
| City | Claremore |
| State | Oklahoma (OK) |
| Post Code | 740175372 |
| Phone Number | 9185570022 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 1312 |
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Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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What is the unique identifier code issued to Crystal Brook Montgomery-Bunn by the Centers for Medicare & Medicaid Services?
The Crystal Brook Montgomery-Bunn has been assigned the NPI (National Provider Identifier) 1285716803. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Crystal Brook Montgomery-Bunn?
The Crystal Brook Montgomery-Bunn is situated at 15336 E 470 Rd, in the city of Claremore, state of OK, with the zip code 740175372.
What is Crystal Brook Montgomery-Bunn's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Crystal Brook Montgomery-Bunn is Dietitian, Registered, and the taxonomy classification code that categorizes this area of expertise is 133V00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1285716803 to Crystal Brook Montgomery-Bunn?
The Crystal Brook Montgomery-Bunn received its 1285716803 assignment from the Centers for Medicare & Medicaid Services on 2006-10-20.
When was the information pertaining to Crystal Brook Montgomery-Bunn most recently updated or revised?
The details related to Crystal Brook Montgomery-Bunn, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL