Organization
PLASTIC SURGERY & DERMATOLOGY ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE B. LOWE M.D. (CO-OWNER)
(405) 942-4300
Entity
Organization
Contact information
Practice address
2520 NW EXPRESSWAY, SUITE #1010, OKLAHOMA CITY, OK 73112-7163
(405) 942-4300
(405) 942-4312
Mailing address
DEPT. #96-0284, OKLAHOMA CITY, OK 73196-0284
(405) 286-9740
(405) 753-5428
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
208200000X
Plastic Surgery Physician
Primary
—
—
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200084420A
—
OK
Enumeration date
08/12/2006
Last updated
09/26/2014
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