Individual provider · Type 1 NPI

Mataeo John Anderson

Student in an Organized Health Care Education/Training Program · Tulsa, OK

NPI number 1063284305 Active

Practice location

1332 N Yale Ave
Tulsa, OK 74115-5361

Call (405) 287-9711 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1063284305

Mataeo John Anderson's National Provider Identifier is 1063284305, issued on Oct 30, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tulsa, OK. The record was last updated on Oct 30, 2023.