EPIPHANY DERMATOLOGY OF OKLAHOMA, LLC

TULSA, OK
NPI1801320106
Entity TypeOrganization
Authorized ContactGHEORGHE PUSTA
CEO
512-628-0465
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
Enumeration Date2017-04-13
Last Update Date2023-12-07
Business Address
EPIPHANY DERMATOLOGY OF OKLAHOMA, LLC
10115 E 80TH ST STE A
TULSA, OK 74133-3421
Phone number: 512-628-0465
Mailing Address
EPIPHANY DERMATOLOGY OF OKLAHOMA, LLC
7300 RANCH RD. 2222, BLDG 1, STE 200 SUITE 200
AUSTIN, TX 78730
Phone number: 512-628-0465
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