Whalio Doctors

NPI 1033706445

Jerdan Dermatology Laser and Aesthetic Institute PLLC

Organisation Dermatology Physician Oklahoma City, OK

Practice location

Address
1211 N Shartel Ave STE 802, Oklahoma City, OK 73103-2425
Phone
(405) 212-2280
Fax
(405) 493-9200

Authorised official

Name
Kimberly Jerdan
Title
Md/Owner
Phone
(405) 212-2280

Registered specialties

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Registry record

NPI
1033706445
Entity type
Organization
NPI issued
31 Dec 2020
Record last updated
20 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.