Individual
DR. ANDERSON P MEHRLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3460 SE FRANK PHILLIPS, BARTLESVILLE, OK 74006-2495
(918) 332-3600
(918) 332-3613
Mailing address
226 SE DEBELL AVE BLDG A, BARTLESVILLE, OK 74006-2343
(918) 332-3600
(918) 332-3613
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
04-33592
KS
207RC0000X
Cardiovascular Disease Physician
16512
MS
207RC0000X
Cardiovascular Disease Physician
Primary
26605
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04029571
—
MS
05
—
200211900A
—
OK
05
—
200606720A
—
KS
01
—
512I060002
MEDICARE PTAN 2008
MS
Enumeration date
06/13/2006
Last updated
11/15/2013
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