Individual
DR. ANTHONY J MARGHERITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 NORTH NEW BALLAS RD, SUITE 210, ST LOUIS, MO 63141
(314) 432-4999
(314) 432-5088
Mailing address
555 NORTH NEW BALLAS RD, SUITE 210, ST LOUIS, MO 63141
(314) 432-4999
(314) 432-5088
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
713120
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111576
MO BLUE
MO
01
—
111576
B CHOICE
—
01
—
169238
GHP
—
01
—
2300445
UHC
—
01
—
332456
HEALTHLINK
—
Enumeration date
06/12/2006
Last updated
02/01/2012
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