| NPI | 1679149413 |
|---|---|
| Doing Business As | SCISSORTAIL DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | ELISE IRENE BRANTLEY Owner 405-562-6222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2021-06-02 |