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Individual

JOHN THOMAS ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
2401 GILLHAM RD, ATTN PROVIDER ENROLLMENT DEPT, KANSAS CITY, MO 64108-4619
(816) 701-5200

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2005040392
MO
207XP3100X
Pediatric Orthopaedic Surgery Physician
04-29363
KS
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
2005040392
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
103374
BLUE CHOICE
MO
05
200619500
MO
01
736343
HEALTHLINK
MO
Enumeration date
06/15/2006
Last updated
03/24/2026
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