Orvedahl, Anthony Walter

Orvedahl, Anthony Walter is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Infectious Disease, Saint Louis MO 63110-1002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is his primary health care specialty. Orvedahl, Anthony Walter can be contacted via phone (314) 454-6050.

Contact Information

Primary practice address
1 Childrens Pl Div Ped Infectious Disease Saint Louis MO 63110-1002
Phone: (314) 454-6050
Fax: (855) 887-7850
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 2017008344 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2017008344 Missouri

Profile Details

NPI number 1710241880
LBN Legal business name Orvedahl, Anthony Walter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2012
Last updated Apr 17th, 2025 - about last year

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 1710241880 NPPES
Missouri MEDICAID 200055216

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