Individual
ANJA SUSANNE BUNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1430 OLIVE ST, SAINT LOUIS, MO 63103-2303
(314) 604-3049
Mailing address
1430 OLIVE ST, SAINT LOUIS, MO 63103-2303
(314) 604-3049
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/07/2011
Last updated
02/07/2011
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