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Individual

DR. DESH V ANAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1111 W. PEARCE BLVD., WENTZVILLE, MO 63385-1020
(636) 887-4288
(636) 639-2368
Mailing address
1111 W. PEARCE BLVD, ATTENTION: CREDENTIALING SUPERVISOR, WENTZVILLE, MO 63385-1020
(636) 887-4288
(636) 639-2368

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
113402
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
204902035
MO
Enumeration date
05/27/2006
Last updated
05/02/2008
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