Organization
JERDAN DERMATOLOGY LASER AND AESTHETIC INSTITUTE PLLC
Active
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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