Individual
NICHOLAS ANASTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4300 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8304
(405) 752-3962
(405) 752-3963
Mailing address
4300 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8304
(405) 752-3962
(405) 752-3963
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7263
OK
Other
Enumeration date
05/06/2018
Last updated
10/14/2021
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