Individual
MRS. ANNA D NAUMOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5205 SOUTH GRAND AVE, ST LOUIS, MO 63111
(314) 481-7977
(314) 481-4420
Mailing address
5205 SOUTH GRAND AVE, ST LOUIS, MO 63111
(314) 481-7977
(314) 481-4420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36914
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110023391
RAILROAD MEDICARE
MO
05
—
202535209
—
MO
Enumeration date
11/08/2006
Last updated
03/27/2009
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