Individual
DR. DAVID JAMES ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
621 S NEW BALLAS RD STE 63B, SAINT LOUIS, MO 63141-8251
(314) 983-4700
(314) 692-9862
Mailing address
12639 OLD TESSON RD STE 115, SAINT LOUIS, MO 63128-2786
(314) 849-0311
(314) 849-4423
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
R5J26
MO
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
R5J26
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100446480A
—
KS
05
—
202685533
—
MO
Enumeration date
04/26/2006
Last updated
08/28/2013
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