Individual
ANDREA SEGUE ANDREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1102 W MACARTHUR ST, SHAWNEE, OK 74804-1743
(405) 878-8112
Mailing address
1102 W MACARTHUR ST, SHAWNEE, OK 74804-1743
(405) 878-8112
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
26247
OK
207Q00000X
Family Medicine Physician
Primary
0101237057
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629063409
—
VA
05
—
200229670A
—
OK
01
—
P00202627
RR MEDICARE
VA
Enumeration date
09/16/2005
Last updated
09/01/2011
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