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Contact Information

PLASTIC SURGERY & DERMATOLOGY ASSOCIATES, PLLC
2520 NW EXPRESSWAY
SUITE #1010
OKLAHOMA CITY, OK73112-7163
 Phone: 405-942-4300
 Fax: 405-942-4312
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Dermatology

207N00000X 07 Physician/Dermatology
 

Surgery

208600000X 02 Physician/General Surgery
 

Surgery of the Hand

2082S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PLASTIC SURGERY DERMATOLOGY ASSOCIATES PLLC · (Female)

NPI Number 1023020864
Status Active
Credentials
Entity Individual
Enumeration date 08/12/2006
Last updated 09/26/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK Medicaid 200084420A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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