Dermatology Associates of Oklahoma LLC

NPI #1629479258 in Muskogee, Oklahoma

Provider Information

NPI Number: 1629479258
Entity Type: Organization
Organization Name: Dermatology Associates of Oklahoma LLC
Primary Specialty: Dermatology
Enumeration Date: Sep 15, 2014
Last Updated: Sep 15, 2014

Practice Location

Address: 3111 AZALEA PARK DR
City: Muskogee
State: Oklahoma
ZIP Code: 74401-2284
Phone: (918) 492-6333

Authorized Official

Name: ROBERT NEVIN
Title: BOARD MEMBER
Phone: (918) 492-6333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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