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Individual

DR. ANNA CHRISTINE DESAIX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.P.M.

Contact information

Practice address
120 WILLIAM PENN PLZ, DURHAM, NC 27704-2150
(919) 220-5255
Mailing address
PO BOX 5105, BELFAST, ME 04915-5100
(919) 220-5255

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2005026457
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30753578
MO
01
5031350001
DMERC
MO
01
5031350002
DMERC
IL
01
614
MEDICAL LICENSE
NC
01
P00279397
RAILROAD MEDICARE
MO
Enumeration date
08/21/2006
Last updated
03/10/2023
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