Individual
MRS. ANITA DEWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9917 GRANDVIEW FOREST CT, SAINT LOUIS, MO 63127-0046
(618) 530-8494
(314) 729-1234
Mailing address
9917 GRANDVIEW FOREST CT, SAINT LOUIS, MO 63127-0046
(618) 530-8494
(314) 729-1234
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036.061456
IL
Other
Enumeration date
10/03/2014
Last updated
10/03/2014
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