HomeNPI Verification

NPI Verification

National Provider Identifier: 1063271641

Blake Anderson, DO

Individual Provider

Credentials

Primary Specialty

Student in an Organized Health Care Education/Training Program

Code: 390200000X

All Specialties (2)

Internal Medicine

Code: 207R00000X

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Primary

Practice Address

1402 S GRAND BLVD # M260

SAINT LOUIS, MO 631041004

Phone: 618-210-5609

NPI Enumeration Date

March 18, 2024

NPI Number

1063271641

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry