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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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