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Derek Anderson
NPI 1497416598 · on the registry since 2022 · sole proprietor
Practice
- Address
- 3624 N 14th St
Saint Louis, MO 63107 - Phone
- (314) 541-8131
- Organisation at this address
- Verse Labs Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 251E00000X
251E00000X
- Also registered as
- 246ZC0007X
332BC3200X
343900000X - Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-01-01
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