Organization
STILLWATER DERMATOLOGY CLINIC
Active
Organization
STILLWATER DERMATOLOGY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS CARL HALL MD (PHYSICIAN/OWNER)
(405) 533-3376
Entity
Organization
Contact information
Practice address
1329 S SANGRE RD, STILLWATER, OK 74074-1854
(405) 533-3376
(405) 533-2642
Mailing address
PO BOX 1583, STILLWATER, OK 74076-1500
(405) 533-3376
(405) 533-2642
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
22869
OK
Other
Enumeration date
07/11/2006
Last updated
01/06/2017
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