Individual
TREVOR CLAYTON ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5310 E 31ST ST FL 11 STE 1102, TULSA, OK 74135-5018
(918) 561-1898
Mailing address
5310 E 31ST ST FL 13, TULSA, OK 74135-5018
(918) 561-5701
(918) 561-1173
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
37000
OK
208000000X
Pediatrics Physician
2018019408
MO
208000000X
Pediatrics Physician
94-08839
KS
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
37000
OK
Other
Enumeration date
04/02/2015
Last updated
04/02/2025
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