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ABBOTT DERMATOLOGY P C NPI 1982658167


NPI Information

NPI: 1982658167
Provider Name: ABBOTT DERMATOLOGY P C
Classification: Dermatology - 207ND0900X
Entity Type: Organization

Specialization: Dermatopathology

Address:
3500 S WESTERN AVE
OKLAHOMA CITY, OK
ZIP 73109
Phone: (405) 632-5565
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ABBOTT DERMATOLOGY P C is a dermatopathology dermatology in Oklahoma City, OK. The provider is a dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. ABBOTT DERMATOLOGY P C NPI is 1982658167. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3500 S WESTERN AVE
OKLAHOMA CITY, OK
ZIP 73109-413
Phone: (405) 632-5565
Fax: (405) 632-3538

The provider's authorized official is Craig Leon Abbott .
The authorized official title is Physician and has the following contact phone number (405) 632-5565.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 7/18/2007.


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
1207NS0135XDermatologyProcedural Dermatology17800OKLAHOMANo
2207ND0101XDermatologyMOHS-Micrographic Surgery17800OKLAHOMANo
3207N00000XDermatology17800OKLAHOMANo
4207ND0900XDermatologyDermatopathology17800OKLAHOMAYes

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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