Organization
EVI DERMATOLOGY
Active
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
08/13/2026
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