Organization
DERMATOLOGY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETTI R ESTEP (BILLING/CREDENTIALING MGR)
(405) 521-1969
Entity
Organization
Contact information
Practice address
3727 NW 63RD ST STE 205, OKLAHOMA CITY, OK 73116-1923
(405) 608-4494
(405) 608-4504
Mailing address
PO BOX 268988, OKLAHOMA CITY, OK 73126-8988
(405) 608-4494
(405) 608-4504
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9074
OK
Other
Enumeration date
01/27/2011
Last updated
04/23/2015
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