Individual
CHARLES A ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP
Contact information
Practice address
4301 N CLASSEN BLVD, OKLAHOMA CITY, OK 73118-5031
(405) 525-4000
(405) 530-3670
Mailing address
4301 N CLASSEN BLVD, OKLAHOMA CITY, OK 73118-5031
(405) 525-4000
(405) 530-3670
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
LP11
OK
Other
Enumeration date
01/16/2009
Last updated
01/16/2009
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