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Organization

CAGR MEDICAL, PLLC

Active
Other names
Southwestern Dermatology
Organization subpart
No

Provider details

NPI number
Authorized official
CARRIE KRAPFF (ADMINISTRATOR)
(405) 636-1506
Entity
Organization

Contact information

Practice address
8315 S WALKER AVE, OKLAHOMA CITY, OK 73139-9449
(405) 636-1506
(405) 636-1511
Mailing address
8315 S WALKER AVE, OKLAHOMA CITY, OK 73139-9449
(405) 636-1506
(405) 636-1511

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
21472
OK
207N00000X
Dermatology Physician
207ND0101X
MOHS-Micrographic Surgery Physician
21472
OK
207NS0135X
Procedural Dermatology Physician
Primary
21472
OK

Other

Enumeration date
10/28/2014
Last updated
08/21/2023
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