Organization
ADVANCED DERMATOLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY K AUGTER D.O. (OWNER)
(918) 426-1616
Entity
Organization
Contact information
Practice address
1030 E WASHINGTON AVE, MCALESTER, OK 74501-4850
(918) 426-1616
(918) 426-2808
Mailing address
1030 E WASHINGTON AVE, MCALESTER, OK 74501-4850
(918) 426-1616
(918) 426-2808
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
3536
OK
Other
Enumeration date
10/26/2006
Last updated
10/03/2011
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