Individual
MR. ANDREW GOTTEHRER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10505 E 91ST ST, SUITE 208, TULSA, OK 74133-5801
(918) 307-5470
(918) 307-5471
Mailing address
6600 S YALE AVE, SUITE 1400, TULSA, OK 74136-3347
(918) 488-6001
(918) 488-6010
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
17603
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100013710A
—
OK
Enumeration date
06/22/2005
Last updated
11/02/2011
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