Organization
DERMATOLOGY ASSOCIATES OF OKLAHOMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT NEVIN (AUTHORIZED OFFICIAL)
(918) 492-6333
Entity
Organization
Contact information
Practice address
3130 SW 89TH ST, STE. 100, OKLAHOMA CITY, OK 73159-7908
(405) 703-2060
Mailing address
6966 S UTICA AVE, STE. 225, TULSA, OK 74136-3903
(918) 492-6333
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
03/23/2015
Last updated
03/24/2015
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