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Organization

EVI DERMATOLOGY

Active
Other names
EVI Dermatology PLLC, EVI Dermatology
Organization subpart
No

Provider details

NPI number
Authorized official
QUY PHAM M.D. (OWNER, CEO, PRESIDENT)
(405) 310-6000
Entity
Organization

Contact information

Practice address
1512 SW 119TH ST, OKLAHOMA CITY, OK 73170-4930
(405) 310-6000
(405) 280-1398
Mailing address
1512 SW 119TH ST, OKLAHOMA CITY, OK 73170-4930
(405) 310-6000
(405) 280-1398

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
02/10/2025
Last updated
02/22/2026
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