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Individual

DR. SUSANNAH L. COLLIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3030 NW 149TH ST, OKLAHOMA CITY, OK 73134-1849
(405) 562-8850
(405) 562-6550
Mailing address
3030 NW 149TH ST, OKLAHOMA CITY, OK 73134-1849
(405) 562-8850
(405) 562-6550

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
2002030861
MO
207N00000X
Dermatology Physician
24822
OK
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
24822
OK
207NP0225X
Pediatric Dermatology Physician
2002030861
MO
207NP0225X
Pediatric Dermatology Physician
24822
OK
207NS0135X
Procedural Dermatology Physician
2002030861
MO
207NS0135X
Procedural Dermatology Physician
24822
OK

Other

Enumeration date
12/05/2005
Last updated
12/03/2014
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