Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | R8N99 | MO |
NPI | 1538187000 |
---|---|
Provider Name | Dr. Anne M Beck |
First Address | Saint Louis, MO 63104-1003 |
Second Address | St. Louis, MO 63104-1003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 15/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
121158 | (05) | MS |
144010381 | (05) | MO |
1517410 | (05) | TN |
1536407 | (05) | LA |