Individual
DR. ANTHONY WALTER ORVEDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CHILDRENS PL, DIV PED INFECTIOUS DISEASE, SAINT LOUIS, MO 63110-1002
(314) 454-6050
(855) 887-7850
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 454-6050
(855) 887-7850
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2017008344
MO
2080P0208X
Pediatric Infectious Diseases Physician
Primary
2017008344
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200055216
—
MO
Enumeration date
07/03/2012
Last updated
04/17/2025
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