NPI 1487804258

Associated Dermatology and Hair Center

Organisation Dermatology Physician Tulsa, OK

Practice location

Address: 1844 E 15th St, Tulsa, OK 74104-4611
Phone: (918) 749-7177

Authorised official

Name: Earl Udo Bachenberg
Title: Physician/Owner
Phone: (918) 749-7177

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 1497 (OK)

Other Dermatology providers in Oklahoma →

Registry record

NPI: 1487804258
Entity type: Organization
NPI issued: 29 Sep 2008
Record last updated: 29 Sep 2008

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.