Organization
BUSTER DERMATOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KESHA J BUSTER MD (OWNER)
(918) 749-5714
Entity
Organization
Contact information
Practice address
3915 E 51ST ST, TULSA, OK 74135-3605
(918) 749-5714
(918) 749-5826
Mailing address
3915 E 51ST ST, TULSA, OK 74135-3605
(918) 749-5714
(918) 749-5826
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
OK
Other
Enumeration date
11/12/2014
Last updated
07/13/2015
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