Epiphany Dermatology of Oklahoma, LLC

NPI #1801320106 in Tulsa, Oklahoma

Provider Information

NPI Number: 1801320106
Entity Type: Organization
Organization Name: Epiphany Dermatology of Oklahoma, LLC
Primary Specialty: Dermatology
Enumeration Date: Apr 13, 2017
Last Updated: Dec 7, 2023

Practice Location

Address: 10115 E 80TH ST STE A
City: Tulsa
State: Oklahoma
ZIP Code: 74133-3421
Phone: (512) 628-0465

Authorized Official

Name: GHEORGHE PUSTA
Title: CEO
Phone: (512) 628-0465

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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