Basic Information
| Provider Information | |||||||||
| NPI: | 1154648442 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ANDERSON F GREENHAW, MD, PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3650 W ROCK CREEK RD | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | NORMAN | ||||||||
| State: | OK | ||||||||
| PostalCode: | 730722202 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4057013418 | ||||||||
| FaxNumber: | 4057013451 | ||||||||
| Practice Location | |||||||||
| Address1: | 901 N PORTER | ||||||||
| Address2: | |||||||||
| City: | NORMAN | ||||||||
| State: | OK | ||||||||
| PostalCode: | 730716404 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4057013418 | ||||||||
| FaxNumber: | 4057013451 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/26/2010 | ||||||||
| LastUpdateDate: | 06/22/2011 | ||||||||
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| AuthorizedOfficialLastName: | GREENHAW | ||||||||
| AuthorizedOfficialFirstName: | ANDERSON | ||||||||
| AuthorizedOfficialMiddleName: | F | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 4057013418 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 24075 | OK | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.