| NPI | 1437342409 |
|---|---|
| Other Name | ADVANCED DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | ERIC L WYATT Preident 405-945-4250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OK 19537) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2007-08-23 |