Individual
DR. CRAIG ALLAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1120 S UTICA AVE, STE 2123, TULSA, OK 74104-4012
(918) 579-5402
Mailing address
1120 S UTICA AVE, STE 2123, TULSA, OK 74104-4012
(918) 579-5402
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
3083
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100063640A
—
OK
05
—
100363150A
—
KS
05
—
133957003
—
AR
05
—
160481101
—
TX
05
—
206354706
—
MO
Enumeration date
06/15/2005
Last updated
11/02/2015
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