LUMINARY DERMATOLOGY OF OKLAHOMA, LLC

EDMOND, OK
NPI1730758541
Entity TypeOrganization
Authorized ContactJESSICA PHILLIPS
CEO
941-302-4669
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
Enumeration Date2021-06-24
Last Update Date2021-09-24
Business Address
LUMINARY DERMATOLOGY OF OKLAHOMA, LLC
1218 E 9TH ST STE 1
EDMOND, OK 73034-5796
Phone number: 405-856-0020
Mailing Address
LUMINARY DERMATOLOGY OF OKLAHOMA, LLC
4411 BEE RIDGE RD PMB 309
SARASOTA, FL 34233-2514
Phone number: 405-856-0020