Individual
ANTHONY E FATHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
224 S WOODS MILL RD, STE 510S, CHESTERFIELD, MO 63017-3451
(314) 434-3433
(314) 434-6813
Mailing address
224 S WOODS MILL RD, STE 510S, CHESTERFIELD, MO 63017-3451
(314) 434-6130
(314) 434-1277
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
29632
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200030807
—
MO
Enumeration date
08/29/2006
Last updated
04/28/2008
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