DR. Earl Udo Bachenberg, DO

NPI #1497713671 in Tulsa, Oklahoma

Provider Information

NPI Number
1497713671
Entity Type
Individual
Name
DR. Earl Udo Bachenberg, DO
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dermatology
Credential
DO
Enumeration Date
May 3, 2006
Last Updated
Sep 29, 2008

Practice Location

Address
1844 E 15TH ST
City
Tulsa
ZIP Code
74104-4611
Phone
(918) 749-7177

Specialties & Taxonomy Codes

Specialty
Dermatology

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