Individual
DR. JOHN FRANK ANZALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1055 E TERRA LN, O FALLON, MO 63366-2750
(636) 272-6161
(636) 240-9188
Mailing address
1055 E TERRA LN, O FALLON, MO 63366-2750
(636) 272-6161
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
R7830
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240294009
—
MO
Enumeration date
10/17/2005
Last updated
12/23/2009
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