| NPI | 1770845729 |
|---|---|
| Doing Business As | SAINTS DERMATOLOGY NORTH |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL L PENA Insurance Credentialing Specialist 405-272-7452 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OK 26344) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2012-06-14 |