Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | 2008002390 | MO |
N | 208000000X | Pediatrician | 2008002390 | MO |
NPI | 1134318751 |
---|---|
Provider Name | Dr. Dana E Ankney |
First Address | Saint Louis, MO 63108-2283 |
Second Address | Saint Louis, MO 63108-2283 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2007 |
Last Update Date | 29/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
208793703 | (05) | MO |