Organization
MIDWEST DERMATOLOGY INCORPORATED PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN H SUTTER MD (PRESIDENT)
(405) 737-8877
Entity
Organization
Contact information
Practice address
8855 E RENO AVENUE, SUITE 200, MIDWEST CITY, OK 73110-7724
(405) 737-8877
(405) 737-4780
Mailing address
8855 E RENO AVENUE, SUITE 200, MIDWEST CITY, OK 73110-7530
(405) 737-8877
(405) 737-4780
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
18006
OK
Other
Enumeration date
10/29/2007
Last updated
04/30/2009
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