Organization
DERMATOLOGY ASSOCIATES OF OKLAHOMA LLC
Active
Organization
DERMATOLOGY ASSOCIATES OF OKLAHOMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT NEVIN (MEMEBER)
(918) 492-6333
Entity
Organization
Contact information
Practice address
6717 S YALE AVE, STE. 101, TULSA, OK 74136-3311
(918) 492-6333
(918) 493-9405
Mailing address
6966 S UTICA AVE, STE. 225, TULSA, OK 74136-3903
(918) 492-6333
(918) 493-9405
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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