Associated Dermatology and Hair Center
Organization Active NPI Dermatology Physician · Tulsa, OK
NPI 1487804258 · NPPES record last updated Sep 29, 2008
Key facts
- NPI
- 1487804258
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- 1497 (OK)
- Legal business name
- ASSOCIATED DERMATOLOGY AND HAIR CENTER
- Practice address
- 1844 E 15TH St
Tulsa, OK 74104-4611 - Phone
- (918) 749-7177
- NPI assigned
- Sep 29, 2008
- Organization subpart
- No
Authorized official
- Name
- Earl Udo Bachenberg, D.O.
- Title
- Physician/Owner
- Phone
- (918) 749-7177
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician |
207N00000X | 1497 | OK | Yes |
Addresses
Primary practice location
1844 E 15TH St
Tulsa, OK 74104-4611
Mailing address
1844 E 15TH St
Tulsa, OK 74104-4611
Phone (918) 749-7177
Other providers in Tulsa, OK
- Associated Centers for Therapy
- Associated Centers for Therapy
- Associated Centers for Therapy, Inc.
- Associated Centers for Therapy, Inc.
- Associated Centers for Therapy, Inc.
- Associated Ophthalmology of Tulsa, Inc.
- Associated Rehabilitation Resources
- Association for Direct Care Trainers
- Assure Neuromonitoring Arizona, LLC
- Assure Neuromonitoring Colorado, LLC
All providers in Tulsa, OK · Dermatology Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.