Organization
ASSOCIATED DERMATOLOGY AND HAIR CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EARL UDO BACHENBERG D.O. (PHYSICIAN/OWNER)
(918) 749-7177
Entity
Organization
Contact information
Practice address
1844 E 15TH ST, TULSA, OK 74104-4611
(918) 749-7177
Mailing address
1844 E 15TH ST, TULSA, OK 74104-4611
(918) 749-7177
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
1497
OK
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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