Organization
FOREFRONT DERMATOLOGY, S.C.
Active
Other names
dba Skin Cancer Center of Oklahoma, A Forefront Dermatology Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE L ANGER (SR. DIRECTOR, PROVIDER ENROLLMENT)
(920) 663-9022
Entity
Organization
Contact information
Practice address
2644 NW 63RD ST, OKLAHOMA CITY, OK 73116-4902
(405) 254-5565
(405) 254-5569
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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