NPI 1245874270 · live from the CMS NPI Registry
Eric Hilton Anderson
Physician Assistant in Oklahoma City, OK. National Provider Identifier 1245874270, active.
NPI record
| NPI | 1245874270 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 4401 S Western Ave, Oklahoma City, OK 73109 |
| Practice phone | 916-300-8024 |
| Mailing address | 2145 Melrose Ct Apt 522, Norman, OK 73069 |
| Enumerated | November 2, 2019 |
| Last updated | November 2, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 3095 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.