Individual provider · NPI-1

Dr. John C. Andrus, MD

· Oklahoma City, OK

NPI number1124052089
StatusActive
Last updated in NPPESJul 21, 2017

Details

NPI
1124052089
Entity type
Individual (NPI-1)
Name
Dr. John C. Andrus
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 10, 2006
Last updated
Jul 21, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084P0805X 12771OKYes

Practice location

5100 N Brookline Ave
950
Oklahoma City, OK 73112-3623

Phone 405-717-9840 · Fax 405-942-4790

Mailing address

5300 N Independence Ave
280
Oklahoma City, OK 73112-5556

Phone 405-717-9840 · Fax 405-942-4790

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