Derek Anderson
Derek Anderson is a Surgical Assistant in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.
- Licensed in
- MO
- In the registry since
- 2022
- Specialties on file
- 4
Practice location Address checks out
3624 N 14th StSaint Louis, MO 63107-3703
Phone: (314) 541-8131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Agency (primary) | Taxonomy 251E00000X · Licence 2010014757 (MO) |
|---|---|
| Surgical Assistant | Taxonomy 246ZC0007X · Licence 2010014757 |
| Customized Equipment (DME) | Taxonomy 332BC3200X · Licence 2010014757 (MO) |
| Non-emergency Medical Transport (VAN) | Taxonomy 343900000X · Licence 2010014757 (MO) |
Record details
| NPI number | 1497416598 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 1, 2022 |
| Last updated in NPPES | January 1, 2022 |
| Certification date | January 1, 2022 |
| Mailing address | 3624 N 14th St, Saint Louis, MO 63107-3703 |
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-
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