HomeNPI Verification

NPI Verification

National Provider Identifier: 1093798134

Blake Anderson, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (2)

Family Medicine

Code: 207Q00000X

Primary

Emergency Medicine

Code: 207P00000X

Practice Address

1344 RED OAK PLANTATION DR

BALLWIN, MO 630217346

Phone: 314-591-3417

NPI Enumeration Date

November 22, 2005

NPI Number

1093798134

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