NPI | 1063289122 |
---|---|
Doing Business As | OKLAHOMA DERMATOLOGY CENTER |
Entity Type | Organization |
Authorized Contact | KATY ERIN TROTTER Sole Member/Nurse Practitioner 479-209-6400 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Enumeration Date | 2023-12-08 |
Last Update Date | 2023-12-12 |