Individual
DR. DALE JOHNSON ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6365 CLAYTON ROAD, ST LOUIS, MO 63117
(314) 645-1567
(314) 725-4449
Mailing address
6365 CLAYTON ROAD, ST LOUIS, MO 63117
(314) 645-1567
(314) 725-4449
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R2E00
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007924000
MAGELLAN
—
01
—
012043
VALUEOPTIONS
—
01
—
132483
HEALTHLINK
—
01
—
1521222
UNITED BEHAVIORAL HEALTH
—
01
—
25961
BLUE CROSS BLUE SHIELD
MO
01
—
33326
IBEW
—
01
—
B18373
MERCY HEALTH PLANS
—
Enumeration date
09/26/2006
Last updated
02/05/2020
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