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1205586500
SOUTHSIDE DERMATOLOGY PLLC
MUSKOGEE, OK
NPI
1205586500
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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
333 S 38TH ST STE E
MUSKOGEE, OK 74401-4937
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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