Individual
RICHARD HOWARD ANDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Contact information
Practice address
330 1ST CAPITOL DR, STE 390, SAINT CHARLES, MO 63301-2852
(636) 949-5760
(636) 949-0729
Mailing address
330 1ST CAPITOL DR, STE 390, SAINT CHARLES, MO 63301-2852
(636) 949-5760
(636) 949-0729
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R8N73
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17143
BLUE CROSS BLUE SHIELD
MO
01
—
222446
HEALTHLINK
—
Enumeration date
06/23/2005
Last updated
07/08/2007
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