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1073263380
SOUTHSIDE DERMATOLOGY PLLC
BROKEN ARROW, OK
NPI
1073263380
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Entity Type
Organization
Authorized Contact
ALISON FISCHER
Owner
918-760-0700
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2022-03-28
Last Update Date
2022-03-28
Business Address
SOUTHSIDE DERMATOLOGY PLLC
3300 S ASPEN AVE STE A
BROKEN ARROW, OK 74012-7501
Phone number: 918-760-0700
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Mailing Address
SOUTHSIDE DERMATOLOGY PLLC
6966 S UTICA AVE STE 225
TULSA, OK 74136-3903
Phone number: 918-492-6333
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