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Individual

DR. JOHN C. ANDRUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5100 N BROOKLINE AVE, 950, OKLAHOMA CITY, OK 73112-3623
(405) 717-9840
(405) 942-4790
Mailing address
5300 N INDEPENDENCE AVE, 280, OKLAHOMA CITY, OK 73112-5556
(405) 717-9840
(405) 942-4790

Taxonomy

Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
12771
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100124020A
OK
Enumeration date
07/10/2006
Last updated
07/21/2017
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