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Contact Information

ANTHONY ANDERSON, MD
1479A U.S. HIGHWAY 61
FESTUS, MO63028-4123
 Phone: 636-931-5533
 Fax: 636-931-5502
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for ANTHONY ANDERSON · (Male)

NPI Number 1679524094
Status Active
Credentials MD
Entity Individual
Enumeration date 05/12/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036119093
  • MO License # MDR7H67
  • IL Medicaid 036119093
  • MO Medicaid 205069909
  • MO Other 200132704 CDS
Hospital affiliation(s)
  • JEFFERSON REGIONAL MEDICAL CENTER - (Acute Care)
    1400 HIGHWAY 61 SOUTH
    CRYSTAL CITY, MO 63019
  • STE GENEVIEVE COUNTY MEMORIAL HOSPITAL - (Critical Access)
    800 STE GENEVIEVE DRIVE, PO BOX 468
    SAINTE GENEVIEVE, MO 63670
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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