Dermatology Associates of Oklahoma LLC

NPI #1659779973 in Oklahoma City, Oklahoma

Provider Information

NPI Number: 1659779973
Entity Type: Organization
Organization Name: Dermatology Associates of Oklahoma LLC
Primary Specialty: Dermatology
Enumeration Date: Dec 18, 2014
Last Updated: Dec 18, 2014

Practice Location

Address: 4805 S WESTERN AVE
City: Oklahoma City
State: Oklahoma
ZIP Code: 73109-3835
Phone: (918) 492-6333

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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