Individual
LUKE FLETCHER ANSCHUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2011039115
MO
208000000X
Pediatrics Physician
Primary
27855
NE
2080A0000X
Pediatric Adolescent Medicine Physician
27855
NE
Other
Enumeration date
06/18/2010
Last updated
09/09/2022
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