Organization
DERMATOLOGY & ALLERGY SOLUTIONS LLC
Active
Organization
DERMATOLOGY & ALLERGY SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANNEN FERRELL (CEO)
(918) 260-2093
Entity
Organization
Contact information
Practice address
4716 SOUTH URBANA STREET, BROKEN ARROW, OK 74012
(918) 260-2093
Mailing address
10620 S LAKEWOOD AVE, TULSA, OK 74137-7002
(918) 260-2093
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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