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Organization
MISSION PHYSICIAN SERVICES, LLC
Active
Organization
MISSION PHYSICIAN SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM R ANDERSON DO (OFFICER)
(877) 228-4951
Entity
Organization
Contact information
Practice address
3220 S PEORIA AVE, SUITE 101, TULSA, OK 74105-2003
(877) 228-4951
(918) 489-5620
Mailing address
3220 S PEORIA AVE, SUITE 101, TULSA, OK 74105-2003
(877) 228-4951
(918) 489-5620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
Other
Enumeration date
08/25/2009
Last updated
08/30/2010
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