Individual
MARK ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4050 W MEMORIAL RD FL 3, OKLAHOMA CITY, OK 73120-8382
(405) 608-3800
(405) 608-3993
Mailing address
7800 NW 85TH TER, OKLAHOMA CITY, OK 73132-3385
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
32985
OK
207RC0000X
Cardiovascular Disease Physician
Primary
32985
OK
207RC0000X
Cardiovascular Disease Physician
59311
MN
Other
Enumeration date
07/08/2014
Last updated
06/06/2022
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