Organization
G. PETE DOSSER M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN PETE DOSSER M.D. (PRESIDENT)
(918) 492-8301
Entity
Organization
Contact information
Practice address
6465 S YALE AVE, SUITE 522, TULSA, OK 74136-7823
(918) 492-8301
Mailing address
PO BOX 3478, TULSA, OK 74101-3478
(918) 492-8301
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
9324
OK
Other
Enumeration date
12/08/2006
Last updated
05/29/2008
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