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Contact Information

JOHN C ANDRUS, MD
5100 N BROOKLINE AVE
950
OKLAHOMA CITY, OK73112-3623
 Phone: 405-717-9840
 Fax: 405-942-4790
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for JOHN C ANDRUS · (Male)

NPI # 1124052089
Status Active
Credentials MD
Entity Individual
Enumeration date 07/10/2006
Last updated 07/21/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 12771
  • OK Medicaid 100124020A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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