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Organization
ANNA MEDICAL GROUP PA
Active
Organization
ANNA MEDICAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAYNA WALKER MD (OWNER)
(617) 693-5767
Entity
Organization
Contact information
Practice address
1120 TECHNOLOGY DR STE 113B, O FALLON, MO 63368-2201
(617) 693-5767
(866) 450-0941
Mailing address
19266 COASTAL HWY UNIT 41112, REHOBOTH BEACH, DE 19971-6117
(617) 693-5767
(866) 450-0941
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
NULL
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/12/2025
Last updated
07/15/2026
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