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DERMATOLOGY AND LASER CENTER OF OKLAHOMA NPI 1942335773


NPI Information

NPI: 1942335773
Provider Name: DERMATOLOGY AND LASER CENTER OF OKLAHOMA
Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

Address:
9306 S TOLEDO CT
SUITE #100
TULSA, OK
ZIP 74137
Phone: (918) 494-0400
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DERMATOLOGY AND LASER CENTER OF OKLAHOMA is a mohs-micrographic surgery dermatology in Tulsa, OK. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. DERMATOLOGY AND LASER CENTER OF OKLAHOMA NPI is 1942335773. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9306 S TOLEDO CT
SUITE #100
TULSA, OK
ZIP 74137-746
Phone: (918) 494-0400
Fax: (918) 494-0405

The provider's authorized official is Mary Christian .
The authorized official title is Physician and has the following contact phone number (918) 494-0400.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 12/6/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ND0101XDermatologyMOHS-Micrographic Surgery23102OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H08397MEDICARE UPINOKLAHOMA
2800522239MEDICARE ID-TYPE UNSPECIFIEDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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