Southside Dermatology Pllc

NPI #1073263380 in Broken Arrow, Oklahoma

Provider Information

NPI Number: 1073263380
Entity Type: Organization
Organization Name: Southside Dermatology Pllc
Primary Specialty: Dermatology
Enumeration Date: Mar 28, 2022
Last Updated: Mar 28, 2022

Practice Location

Address: 3300 S ASPEN AVE STE A
City: Broken Arrow
State: Oklahoma
ZIP Code: 74012-7501
Phone: (918) 760-0700

Authorized Official

Name: ALISON FISCHER
Title: OWNER
Phone: (918) 760-0700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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