Organization
DERMATOLOGY ASSOCIATES OF OKLAHOMA LLC
Active
Organization
DERMATOLOGY ASSOCIATES OF OKLAHOMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT NEVIN (BOARD MEMBER)
(918) 492-6333
Entity
Organization
Contact information
Practice address
3111 AZALEA PARK DR, MUSKOGEE, OK 74401-2284
(918) 492-6333
Mailing address
3111 AZALEA PARK DR, MUSKOGEE, OK 74401-2284
(918) 492-6333
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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