Organization
C JAMES ANDERSON DPM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA BAUER (BILLING MANAGER)
(618) 277-9533
Entity
Organization
Contact information
Practice address
11710 OLD BALLAS RD STE 110, SAINT LOUIS, MO 63141-7076
(618) 277-9533
(618) 277-9540
Mailing address
PO BOX 3681, SPRINGFIELD, IL 62708-3681
(618) 277-9533
(618) 277-9540
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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