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Individual

DR. MARC ANDRES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2900 S TELEPHONE RD STE 250, MOORE, OK 73160-2969
(405) 237-7500
Mailing address
2900 S TELEPHONE RD STE 250, MOORE, OK 73160-2969

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
32855
OK
207Q00000X
Family Medicine Physician
Q5966
OK

Other

Enumeration date
07/12/2012
Last updated
11/10/2017
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