| NPI | 1720325533 |
|---|---|
| Doing Business As | SAINTS DERMATOLOGY CENTER OF EXCELLENCE |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL L PENA Insurance Credentialing Specialist 405-272-7452 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OK 22879) |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2013-01-14 |