Dermatology & Allergy Solutions Llc | |
4716 South Urbana Street Broken Arrow OK 74012 | |
(918) 260-2093 | |
Not Available |
Full Name | Dermatology & Allergy Solutions Llc |
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Speciality | Clinic/center - Multi-specialty |
Location | 4716 South Urbana Street, Broken Arrow, Oklahoma |
Authorized Official Name and Position | Cannen Ferrell (CEO) |
Authorized Official Contact | 9182602093 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dermatology & Allergy Solutions Llc 10620 S Lakewood Ave Tulsa OK 74137-7002 Ph: (918) 260-2093 | Dermatology & Allergy Solutions Llc 4716 South Urbana Street Broken Arrow OK 74012 Ph: (918) 260-2093 |
NPI Number | 1619371473 |
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Provider Enumeration Date | 10/22/2014 |
Last Update Date | 10/22/2014 |
Identifier | Type | State | Issuer |
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1619371473 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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