Individual
DR. JANELLE MARSHALL PAVLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 W BOISE CIR STE 400, BROKEN ARROW, OK 74012
(918) 307-0215
(918) 250-7669
Mailing address
800 W BOISE CIR STE 400, BROKEN ARROW, OK 74012-4974
(918) 307-0215
(918) 250-7669
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
33597
OK
Other
Enumeration date
07/18/2014
Last updated
10/11/2018
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