Individual
DR. ANTHONY JOHN COLANERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
11770 MANCHESTER RD, DES PERES, MO 63131-4617
(314) 966-5454
(314) 965-6923
Mailing address
11770 MANCHESTER RD, DES PERES, MO 63131-4617
(314) 966-5454
(314) 965-6923
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6133
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5106
BLUE CROSS BLUE SHIELD
MO
Enumeration date
11/21/2006
Last updated
07/08/2007
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