| NPI | 1710198569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A DAWKINS Owner/Physician 405-721-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OK 19539) |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2019-01-03 |