Most Relevant Information
Provider Data
| NPI Number: | 1003251943 |
| Provider Name: | JASON MATTHEW HIRSHBURG M.D. PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207ND0101X |
| Specialty: | Dermatology |
| License Number: | R2622 |
Most Important Dates
| Enumeration Date: | 05/06/2013 |
| Last Updated: | 01/04/2022 |
Provider Practice Location
UNIVERSITY OF OKLAHOMA HSC - DERMATOLOGY
619 N.E. 13TH ST
OKLAHOMA CITY
OK
73104
Practice Location Phone/Fax
| Phone: | 4052714662 |
| Fax: | 4052714662 |
Provider Mailing Location
UNIVERSITY OF OKLAHOMA - DERMATOLOGY
619 N.E. 13TH ST
OKLAHOMA CITY
OK
73104
Provider Mailing Phone/Fax
| Phone: | 4052714662 |
| Fax: | 4052717216 |