Individual
DR. DOUGLAS WARNER ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
407 E RUSSELL AVE BLDG C, WARRENSBURG, MO 64093-1242
(660) 747-5114
(660) 747-5684
Mailing address
407 E RUSSELL AVE BLDG C, WARRENSBURG, MO 64093-1242
(660) 747-5114
(660) 747-5684
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
109116
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10871229
CAQH
MO
01
—
22286021
BLUE CROSS BLUE SHIELD KC
MO
01
—
5018017
AETNA ID NUMBER
MO
Enumeration date
07/24/2006
Last updated
02/06/2026
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