Individual
DR. CHARLES CLAYTON ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6944 E 78TH ST, TULSA, OK 74133-3442
(918) 491-6819
Mailing address
6944 E 78TH ST, TULSA, OK 74133-3442
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
J6854
TX
Other
Enumeration date
01/26/2006
Last updated
12/04/2007
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