Tulsa Dermatology Clinic INC

NPI #1194741561 in Tulsa, Oklahoma

Provider Information

NPI Number: 1194741561
Entity Type: Organization
Organization Name: Tulsa Dermatology Clinic INC
Primary Specialty: Dermatology
Enumeration Date: Jul 15, 2006
Last Updated: May 16, 2008

Practice Location

Address: 2121 E 21ST ST
City: Tulsa
State: Oklahoma
ZIP Code: 74114-1409
Phone: (918) 749-2261

Authorized Official

Name: DR. LAWRENCE J GREGG, M.D.
Title: PRESIDENT
Phone: (918) 749-2261

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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