Anderson, George C

Anderson, George C is an individual health care provider with primary practice located at 5114 Mid America Plz Ste 2C, Saint Louis MO 63129-0003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Anderson, George C can be contacted via phone (314) 859-4000.

Contact Information

Primary practice address
5114 Mid America Plz Ste 2C Saint Louis MO 63129-0003
Phone: (314) 859-4000
Fax: (314) 273-4110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 103175 Missouri

Profile Details

NPI number 1669497764
LBN Legal business name Anderson, George C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated May 9th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669497764 NPPES
Missouri MEDICAID 208579409

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