| Mr David B Minor, MD | |
|
1516 S Yorktown Pl, Tulsa, OK 74104-4918 | |
| (918) 712-8888 | |
| (918) 712-8892 |
| Full Name | Mr David B Minor |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 1516 S Yorktown Pl, Tulsa, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285610402 | NPI | - | NPPES |
| 100124200A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 14933 (Oklahoma) | Primary |
| Entity Name | Southside Dermatology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750877072 PECOS PAC ID: 9234487554 Enrollment ID: O20180802002933 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr David B Minor, MD 1516 S Yorktown Pl, Tulsa, OK 74104-4918 Ph: (918) 712-8888 | Mr David B Minor, MD 1516 S Yorktown Pl, Tulsa, OK 74104-4918 Ph: (918) 712-8888 |
Robert Fischer, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5801 E 41st St Ste 200, Tulsa, OK 74135 Phone: 918-760-0700 Fax: 918-628-0700 | |
Christina G Kendrick, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2121 E 21st St, Tulsa, OK 74114 Phone: 918-749-2261 | |
Aelayna Meyer, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9245 S Mingo Rd, Tulsa, OK 74133 Phone: 918-492-8980 Fax: 918-495-0607 | |
John Robert Ashley, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6565 S Yale Ave Ste 1200, Tulsa, OK 74136 Phone: 918-502-3376 Fax: 918-857-1961 | |
Mrs. Ashwini Kamath Vaidya, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2121 E 21st St, Tulsa, OK 74114 Phone: 918-749-2261 Fax: 918-749-8712 | |
Dr. Girish Chintamani Mohan, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9245 S Mingo Rd, Tulsa, OK 74133 Phone: 918-492-8980 Fax: 918-495-0607 | |
Mary Margaret Christian-reed, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9306 S Toledo Ct, Suite #100, Tulsa, OK 74137 Phone: 918-494-0400 Fax: 918-494-0405 |