Southside Dermatology Pllc

LBN: Southside Dermatology Pllc
Southside Dermatology Pllc is an health care organization with primary practice located at 3300 S Aspen Ave Ste A , Broken Arrow OK 74012-7501. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Southside Dermatology Pllc can be contacted via phone (918) 760-0700, or through Fischer, Alison via phone (918) 760-0700.

Contact Information

Primary practice address
3300 S Aspen Ave Ste A Broken Arrow OK 74012-7501
Phone: (918) 760-0700
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fischer, Alison
Phone: (918) 760-0700

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1073263380
LBN Legal business name Southside Dermatology Pllc
DBA Doing business as
Authorized official Fischer, Alison
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2022
Last updated Mar 28th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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