Individual
WILLIAM S ANAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1605 MARTIN SPRINGS DR, ROLLA, MO 65401-2982
(417) 458-6637
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
105048
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124024468
—
MO
01
—
431560263
TRICARE
MO
Enumeration date
06/22/2005
Last updated
11/08/2013
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