Individual
DR. CHARLES D ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
817 24TH AVE NW, NORMAN, OK 73069-6313
(405) 360-9338
(405) 366-1669
Mailing address
817 24TH AVE NW, NORMAN, OK 73069-6313
(405) 360-9338
(405) 366-1669
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
190
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100779900A
—
OK
Enumeration date
09/02/2005
Last updated
03/17/2018
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