Organization
JERDAN DERMATOLOGY LASER AND AESTHETIC INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY JERDAN MD (MD/OWNER)
(405) 212-2280
Entity
Organization
Contact information
Practice address
1211 N SHARTEL AVE STE 802, OKLAHOMA CITY, OK 73103-2425
(405) 212-2280
(405) 493-9200
Mailing address
1211 N SHARTEL AVE STE 802, OKLAHOMA CITY, OK 73103-2425
(405) 212-2280
(405) 493-9200
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
12/31/2020
Last updated
01/20/2021
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