Individual
GAYNELL SCHIEBER ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1102 W MACARTHUR ST, SHAWNEE, OK 74804-1743
(405) 878-8110
(405) 214-1551
Mailing address
1102 W MACARTHUR ST, SHAWNEE, OK 74804-1743
(405) 878-8110
(405) 214-1551
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21160
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100120200A
—
OK
01
—
5723913001
CIGNA
—
01
—
89417
AETNA
—
01
—
OP033001
HUMANA
—
Enumeration date
07/08/2005
Last updated
07/03/2023
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