Individual
DR. FRANK A DESANDRE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
12451 E 100TH ST N, OWASSO, OK 74055-4600
(918) 274-5000
(918) 274-5117
Mailing address
12451 E 100TH ST N, OWASSO, OK 74055-4600
(918) 274-5000
(918) 274-5117
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD0000034302
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100203270A
—
OK
Enumeration date
06/27/2006
Last updated
11/08/2012
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