SearchOklahoma133V00000X

Samuel Sisley, RD LDN

NPI 1215102603 · on the registry since 2008 · sole proprietor

Practice

Address
1011 Honor Heights Dr
Muskogee, OK 74401
Phone
(918) 577-3735
Fax
(918) 577-3829
Organisation at this address
Eovacs
Muskogee Vamc
Muskogee Vamc
Johnson Associates Systems Inc.
Jack C. Montgomery Va Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
441

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-04-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma