| NPI | 1619372026 |
|---|---|
| Doing Business As | SOUTHWESTERN DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | CARRIE KRAPFF Administrator 405-636-1506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: OK 21472) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OK 21472) |
| 207N00000X Dermatology | |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: OK 21472) | |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2023-08-21 |