Foundation Weightwise Services, LLC

NPI #1316123912 in Edmond, Oklahoma

Provider Information

NPI Number: 1316123912
Entity Type: Organization
Organization Name: Foundation Weightwise Services, LLC
Primary Specialty: Physician Assistant
Enumeration Date: Jan 14, 2008
Last Updated: Jan 14, 2008

Practice Location

Address: 1800 RENAISSANCE BLVD
Address 2: SECOND FLOOR
City: Edmond
State: Oklahoma
ZIP Code: 73013-3023
Phone: (405) 359-2473

Authorized Official

Name: MR. ROBERT MORTON BYERS
Title: PRESIDENT / COO
Phone: (405) 608-1700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X
Dietitian, Registered	133V00000X
Nurse Practitioner	363L00000X
Physician Assistant	363A00000X	Primary

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