MEDICARE: CHRISTI D. ANDERSON PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	1527	OK

General Provider Information

NPI Number	:	1184665101
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTI D. ANDERSON PA-C

Provider Business Mailing Address
First Line	:	6600 S YALE AVE STE 1200
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74136-3361
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 ROCKEFELLER DR STE 203
Second Line	:
City	:	MUSKOGEE
State	:	OK
Zip	:	74401-5050
Country	:	US
Telephone Number	:	918-910-6400
Fax Number	:	918-910-6401

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	01/20/2026

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