Northern Oklahoma Dermatology

NPI #1326823485 in Bartlesville, Oklahoma

Provider Information

NPI Number
1326823485
Entity Type
Organization
Organization Name
Northern Oklahoma Dermatology
Primary Specialty
Dermatology
Enumeration Date
Aug 28, 2023
Last Updated
May 8, 2024

Practice Location

Address
309 SE FRANK PHILLIPS BLVD
ZIP Code
74003-3643
Phone
(918) 214-8888

Authorized Official

Name
NICHOLAS ALBERT MIETUS, PA
Title
PRESIDENT/ OWNER
Phone
(405) 205-7072

Specialties & Taxonomy Codes

Specialty
Dermatology

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