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Search › Missouri › 390200000X

Blake Anderson, DO

NPI 1063271641 · on the registry since 2024 · sole proprietor

Practice

Address
1402 S Grand Blvd # M260
Saint Louis, MO 63104
Phone
(618) 210-5609
Clinicians at this address
56

Additional practice sites

  • 3100 Channing Way, Idaho Falls, ID

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
207R00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-03-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri