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NPI Verification

National Provider Identifier: 1679524094

Anthony Anderson, MD

Individual Provider

Credentials

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (5)

Anesthesiology

Code: 207L00000X

Anesthesiology

Code: 207L00000X

Pain Medicine, Interventional Pain Medicine

Code: 208VP0014X

Code: 208VP0000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

1479A U.S. HIGHWAY 61

FESTUS, MO 630284123

Phone: 636-931-5533

NPI Enumeration Date

May 12, 2006

NPI Number

1679524094

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