NPI 1033706445
Jerdan Dermatology Laser and Aesthetic Institute PLLC
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
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.