Organization
ANESTHESIA ASSOCIATES OF JEFFERSON COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY ANDERSON MD (PRES)
(636) 933-1000
Entity
Organization
Contact information
Practice address
HIGHWAY 61 S. AT HIGHWAY 67, CRYATAL CITY, MO 63019
(636) 933-1000
Mailing address
HIGHWAY 61 S. AT HIGHWAY 67, CRYATAL CITY, MO 63019
(636) 933-1000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129208
BLUE SHIELD
MO
01
—
CH0419
RR MEDICARE
MO
Enumeration date
07/07/2006
Last updated
08/22/2020
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