Organization
MIDTOWN DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETA TERHUNE (OFFICE MANAGER)
(918) 743-4046
Entity
Organization
Contact information
Practice address
2424 E. 21ST STREET, SUITE 340, TULSA, OK 74114
(918) 728-3100
(918) 728-3376
Mailing address
2424 E. 21ST STREET, SUITE 340, TULSA, OK 74114
(918) 728-3100
(918) 728-3376
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
18895
OK
251300000X
Local Education Agency (LEA)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH7333
RAILROAD MEDICARE - PALMETTO GBA
—
Enumeration date
03/28/2007
Last updated
06/23/2025
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