Healthcare Provider Details

I. General information

NPI: 1386699767
Provider Name (Legal Business Name): ANU R FRENCH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 11/02/2020
Certification Date: 11/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12255 DEPAUL DRIVE SUITE 300
BRIDGETON MO
63044
US

IV. Provider business mailing address

1836 LACKLAND HILL PKWY ATTENTION: CREDENTIALING DEPARTMENT
SAINT LOUIS MO
63146-3572
US

V. Phone/Fax

Practice location:
  • Phone: 314-344-6021
  • Fax:
Mailing address:
  • Phone: 314-989-0300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number108721
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: