Connie Anderson MD

NPI 1073619334 - Pediatrics - 208000000X

NPI Details
NPI 1073619334
Gender Female
Enumeration Date 09/15/2006
Last Updated 08/27/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
1465 S GRAND BLVD
SAINT LOUIS MO, 63104-1003, US
Phone (314) 268-4101
Fax (314) 577-5379
Business Location
3691 RUTGER AVE
ST. LOUIS MO, 63110-2515, US
Phone (314) 977-6828
Fax (314) 977-6777
Toxanomy
Taxonomy Code 208000000X
License State Missouri
License Number 110467
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According to our database, Connie Anderson MD NPI is 1073619334, taxonomy code is 208000000X and license number is 110467, license state is located at Missouri. Connie Anderson MD physically located at 1465 S Grand Blvd, Saint Louis MO, 63104-1003. NPI Number Connie Anderson MD has the Individual type.

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1073619334 NPI number is provided on an as is basis without warranty of any kind. 1073619334 is maintained by the National Plan & Provider Enumeration System. The contents of Connie Anderson MD are for informational purposes only.