Revitalize Nutrition Corp

Specialty details in registry · Oklahoma City, OK

Call (405) 625-6488 Directions

At a glance

7308 N Western Ave, Oklahoma City, OK 73116-7120

NPPES record updated May 5, 2025. Public records can lag behind changes at a practice.

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Are you accepting new patients?
Do you accept my specific insurance plan?
Do you provide the service I need at this address?
Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

7308 N Western Ave
Oklahoma City, OK 73116-7120

Professional details: NPI, taxonomy & registry record

NPI1306635537

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 261QI0500X
Enumeration date: May 5, 2025
Record updated: May 5, 2025

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QI0500X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

7308 N Western Ave
Oklahoma City, OK 73116-7120

Phone: (405) 625-6488

Mailing address

7308 N WESTERN AVE

OKLAHOMA CITY, OK 731167120

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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