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Contact Information

CRAIG A ANDERSON, DO
1120 S UTICA AVE
STE 2123
TULSA, OK74104-4012
 Phone: 918-579-5402
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CRAIG A ANDERSON · (Male)

NPI # 1184629487
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/15/2005
Last updated 11/02/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 3083
  • AR Medicaid 133957003
  • KS Medicaid 100363150A
  • MO Medicaid 206354706
  • OK Medicaid 100063640A
  • TX Medicaid 160481101
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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