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Demetrius Anderson
NPI 1801170048 · on the registry since 2011 · sole proprietor
Practice
- Address
- 2322 Cedar Brook Dr
Moore, OK 73160 - Phone
- (405) 831-7365
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-10-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma