NPI 1295885580 · live from the CMS NPI Registry
Edwin Lemuel Anderson, M.D.
Pediatrics, Pediatric Infectious Diseases in Saint Louis, MO. National Provider Identifier 1295885580, active.
NPI record
| NPI | 1295885580 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Pediatric Infectious Diseases 2080P0208X |
| Practice location | 1100 S Grand Blvd Fl 1, Saint Louis, MO 63104 |
| Practice phone | 314-977-7534 |
| Enumerated | January 11, 2007 |
| Last updated | May 24, 2013 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Pediatric Infectious Diseases | 2080P0208X | 19571 (NC) |
| Pediatrics, Pediatric Infectious Diseases primary | 2080P0208X | R5J69 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.