NPI 1073263380

Southside Dermatology PLLC

Organisation Dermatology Physician Broken Arrow, OK

Practice location

Address: 3300 S Aspen Ave STE a, Broken Arrow, OK 74012-7501
Phone: (918) 760-0700
Mailing address: 6966 S Utica Ave STE 225, Tulsa, OK 74136-3903

Authorised official

Name: Alison Fischer
Title: Owner
Phone: (918) 760-0700

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Oklahoma →

Registry record

NPI: 1073263380
Entity type: Organization
NPI issued: 28 Mar 2022
Record last updated: 28 Mar 2022

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.