| NPI | 1831714658 |
|---|---|
| Doing Business As | DERMATOLOGY AND AESTHETICS OF OKLAHOMA |
| Entity Type | Organization |
| Authorized Contact | STACIE E ROUGAS Owner 405-803-8020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-07-08 |