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Dr. Blake Anderson, MD
Emergency Medicine Physician in Ballwin, Missouri
NPI 1093798134

Blake Anderson is a Emergency Medicine Physician based in Ballwin, MO. Blake Anderson practices in Ballwin, MO and has the professional credentials of MD. The NPI Number for Blake Anderson is 1093798134 and holds a License No. 2009013290 (Missouri).

The current practice location address for Blake Anderson is 1344 Red Oak Plantation Dr, Ballwin, MO and can be reached out via phone at 314-591-3417.

Location: 1344 Red Oak Plantation Dr, Ballwin, MO, 63021-7346
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Provider Profile Details
NPI Number
1093798134
Provider Name
Blake Anderson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1344 Red Oak Plantation Dr, Ballwin, MO, 63021-7346
Phone Number
314-591-3417
Fax Number
Provider Enumeration Date
11/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01-13048 01 MN MEDICA
MH9041023739 01 MN PREFERRED ONE
1093798134 05 MO
150459 05 MN
67Q18AN 01 MN BLUE CROSS/BLUE PLUS
A035 01 MN CHAMPUS
16690100 05 MN
1019018 01 MN ARAZ
7291 01 MN AVERA
21955 01 MN SIOUX VALLEY HEALTH PLANS
HP30702 01 MN HEALTHPARTNERS
institution
Provider Business Practice Location Address Details
Address
1344 Red Oak Plantation Dr
City
State
Zip
63021-7346
Phone Number
314-591-3417
Fax Number
person
Provider Business Mailing Address Details
Address
1344 Red Oak Plantation Dr
City
State
Zip
63021-7346
Phone Number
314-591-3417
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
License No.
2009013290 (Missouri)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
2009013290 (Missouri)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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