Individual
DR. JOHN DAVID ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4303 PITMAN & THOMAS, FT SILL, OK 73503
(580) 353-1131
Mailing address
10632 ADMIRAL COURT, OKLAHOMA CITY, OK 73162
(580) 585-5784
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9768
OK
Other
Enumeration date
10/12/2006
Last updated
04/05/2012
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