Individual
ANDY JOHN ANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.P., L.P.
Contact information
Practice address
1614 GREENBRIAR PL, OKLAHOMA CITY, OK 73159-7641
(405) 415-5862
(405) 605-3041
Mailing address
1614 GREENBRIAR PL, OKLAHOMA CITY, OK 73159-7641
(405) 415-5862
(405) 605-3041
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
27
OK
Other
Enumeration date
03/27/2013
Last updated
01/09/2023
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