Individual
MATAEO JOHN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1332 N YALE AVE, TULSA, OK 74115-5361
(405) 287-9711
Mailing address
1332 N YALE AVE, TULSA, OK 74115-5361
(405) 287-9711
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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