| Dermatology And Cosmetic Center Of Oklahoma, P.l.l.c. | |
|
3580 Rc Luttrell Dr Ste 102 Norman OK 73072-9702 | |
| (405) 701-9073 | |
| (405) 310-8708 |
| Full Name | Dermatology And Cosmetic Center Of Oklahoma, P.l.l.c. |
|---|---|
| Speciality | Dermatology |
| Location | 3580 Rc Luttrell Dr Ste 102, Norman, Oklahoma |
| Authorized Official Name and Position | Jessica Nicole Doty (PRESIDENT) |
| Authorized Official Contact | 4057019073 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dermatology And Cosmetic Center Of Oklahoma, P.l.l.c. 5355 Retreat Cir Longmont CO 80503-7627 Ph: (405) 701-9073 | Dermatology And Cosmetic Center Of Oklahoma, P.l.l.c. 3580 Rc Luttrell Dr Ste 102 Norman OK 73072-9702 Ph: (405) 701-9073 |
| NPI Number | 1306317581 |
|---|---|
| Provider Enumeration Date | 12/16/2018 |
| Last Update Date | 02/20/2019 |
| Medicare PECOS PAC ID | 7214274174 |
|---|---|
| Medicare Enrollment ID | O20190130002270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306317581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 207N00000X | Dermatology | (* (Not Available)) | Primary |
| Provider Name | Jessica N Doty |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1730523531 PECOS PAC ID: 2163723511 Enrollment ID: I20190130002371 |
Empowerme Medical Group, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2803 24th Ave Nw, Norman, OK 73069 Phone: 877-367-9772 | |
Kimberly Davis, Rd/ld, P.c., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 N Porter Ave, Norman, OK 73071 Phone: 405-326-5403 Fax: 405-217-3985 | |
Westport Family Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Palmer Cir, Norman, OK 73069 Phone: 405-321-6405 Fax: 405-321-6457 | |
Essence Aesthetics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3321 W Tecumseh Rd Ste 129, Norman, OK 73072 Phone: 405-420-1259 | |
Kdf/mpk, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Palmer Cir, Norman, OK 73069 Phone: 405-310-2484 Fax: 405-310-2482 | |
Infectious Disease Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 N Porter Ave, Norman, OK 73071 Phone: 405-321-8899 Fax: 405-321-4433 | |
Snodgrass Family Chiropractic, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2520 Mcgee Dr Ste 100, Norman, OK 73072 Phone: 405-321-3777 Fax: 405-321-3353 |